Update Emergency Assistance Program

Clarifications On   -
-  When Benefits May be Reopened Without a New Application
-  Role of Authorized Representative
& EBT Card Holder

Correct BEP & Voluntary Quit
Policy for the Food Stamp
Program

Updates and Changes
in WV WORKS Policy

Update Terminology

Clarify Information
on Recreational Vehicles

PAC Redeterminations

2006 SSI Annual Updates

Update and Clarify
References to "Disabled"

Chapter 8 - TOC
Chapter 8 - 8.1
Chapter 8 - 8. 2
Chapter 8 - 8. 3
Chapter 8 - 8. 4
Chapter 8 - 8. 5
Chapter 8 - 8. 6
Chapter 8 - 8. 7
Chapter 9 - 9.1

DW-17

Quality Review Period
for WV WORKS

DW-17

Enrollment - Medicare Parts A and B

FORM - DFA-EX-1

DW-17

60-Month Extension Form

Chapter 6 - TOC
Chapter 6 - 6.2
FORM - DFA-NL-6

DW-17

Notice of Withdrawal of Application form renamed

Chapter 10 - TOC
Chapter 10 - App. A
Chapter 10 - App. B
Chapter 10 - App. C1
Chapter 10 - App. C2
Chapter 12 - 12.5
Chapter 12 - 12.6

DW-17

Food Stamp
2005 Annual Updates

Chapter 26 - App. A
FORM - DFA-LIEAP-1A

DW-17

LIEAP

Chapter 3 - TOC
Chapter 3 - App. B
Chapter 3 - App. C

DW-17

Federal Tax Information

DW-17

Client Notification

FORM - DFA-RR-1

DW-17

Rights & Responsibilities

Chapter 1 - TOC
Chapter 1 - 1.10
Chapter 1 - 1.15
Chapter 1 - 1.22
Chapter 1 - App. A

DW-17

Application/Redetermination

Chapter 1 - 1.2
Chapter 1 - 1.3
Chapter 1 - 1.4
Chapter 2 - 2.2

DW-17

24-Month Redeterminatio Process
Face-to-Face Interview Waiver

Chapter 11 - 11.4
FORM - DFA-V-1
FORM - DFA-WVW-NL-2
FORM - DFA-WVW-NL-3
FORM - DFA-SCA-2

DW-17

Renamed Forms

Chapter 1 - 1.1
Chapter 1 - 1.2
Chapter 1 - 1.3
Chapter 1 - 1.4
Chapter 1 - 1.9
Chapter 1 - 1.10
Chapter 1 - 1.11
Chapter 1 - App. A
Chapter 4 - 4.2
Chapter 7 - 7.1
Chapter 7 - 7.2
Chapter 19 - 19.8

DW-17

Electronic Signature and Verification
of Identity for Medicaid for Children
and Pregnant Wormen and WV CHIP

FORM - DFA-67-A

DW-17

Burial Billing Form

Chapter 15 - App. B
Chapter 15 - App. C
SCA Voucher Instructions

DW-17

School Clothing Allowance

Chapter 19 - 19.7
FORM - DFA-TR-36

DW-17

TRIP

Chapter 9 - 9.1
FORM - DFA-NH-RR-1

DW-17

Rights & Responsibilities
Medicaid with Payments for Nursing Home Only

Chapter 20 - App. B

DW-17

Fraud Referral Forms

Chapter 24.14

Chapter 1 - 1.2

DW-17

Medicaid - HIPAA Requirement to the Intake Interview

Chapter 1 - TOC
Chapter 1 - 1.25
Chapter 10 - 10.3
Chapter 10 - 10.24
Chapter 24 - TOC
Chapter 24 - 24.4
Chapter 24 - 24.5
Chapter 24 - 24.6
Chapter 24 - 24.10
Chapter 24 - 24.14
Chapter 24 - 24.16
FORM - DFA-WVW-25
FORM - DFA-WVW-JR-1

DW-17

WV WORKS Updates

Chapter 7 - 7.10

DW-17

WV CHIP

Chapter 1 - 1.4
Chapter 2 - TOC
Chapter 2 - 2.1
Chapter 2 - 2.2
Chapter 2 - 2.3
Chapter 2 - 2.4
Chapter 2 - 2.6
Chapter 2 - 2.7
Chapter 2 - 2.10
Chapter 2 - 2.11
Chapter 2 - 2.12
Chapter 2 - 2.13
Chapter 2 - 2.15
Chapter 2 - 2.16
Chapter 2 - 2.17

DW-17

Food Stamp Simplified Reporting

FORM - DFA-RT-14
FORM - DFA-RT-14A

DW-17

Medical Review Team Forms

Chapter 9 - 9.1

DW-17

Issuance Limited Counties Exempt from ABAWD Work Requirements

Chapter 10 - App. A

DW-17

2005 Income Limits

Chapter 4 - 4.2
Chapter 10 - TOC
Chapter 10 - 10.3
Chapter 10 - 10.4
Chapter 10 - 10.5
Chapter 10 - 10.7
Chapter 10 - 10.9
Chapter 10 - 10.10
Chapter 10 - 10.11
Chapter 10 - 10.12
Chapter 10 - 10.15
Chapter 10 - 10.16
Chapter 10 - 10.19
Chapter 10 - 10.21
Chapter 10 - 10.22
Chapter 10 - 10.24

DW-17

Food Stamp Program
Additional Pay Received by Military Personnel as a Result of Deployment

Chapter 1 - 1.2
Chapter 1 - 1.4
Chapter 2 - TOC
Chapter 2 - 2.1
Chapter 2 - 2.2
Chapter 14 - 14.1
Chapter 14 - 14.2

DW-17

Phone Interviews
Simplified Reporting

Chapter 2 - TOC
Chapter 2 - App. B
Chapter 10 - App. E

DW-17

2005 COLA Updates

Chapter 10 - 10.4
Chapter 19 - 19.3
Chapter 21 - TOC
Chapter 21 - 21.1
Chapter 21 - 21.2
Chapter 21 - 21.3
Chapter 21 - 21.4
Chapter 21 - 21.App. A
FORM - DFA-FS-36

DW-17

Benefit Replacement Procedures

Chapter 19 - 19.5
FORM - DFA- 67
FORM - DFA-67A
FORM - DFA-BU-1
FORM - DFA-BU-2
FORM - DFA-BU-3

DW-17

Indigent Burial Program

FORM - DFA-VANCE-6

DW-17

DFA-VANCE-6

Chapter 10 - App. A
Chapter 10 - 10.22
Chapter 17 - 17.9
Chapter 17 - 17.10

DW-17

2005 SSI Annual Updates

Chapter 24 - TOC
Chapter 24 - 24.4

DW-17

2004 SCA Supplemental

FORM - DFA-RT-3M
FORM - ES-RT-3

DW-17

FORMS

Chapter 15 - 15.6
FORM - DFA-VANCE-1
FORM - DFA-VANCE-2
FORM - DFA-VANCE-3
FORM - DFA-VANCE-4
FORM - DFA-VANCE-5

DW-17

WV WORKS Vance Court Order

Chapter 26 - App. A

DW-17

LIEAP Chart 2004 - 2005

Chapter 1 - 1.14
Chapter 1 - 1.15
Chapter 10 - 10.15
Chapter 16 - 16.6
FORM - DFA-PAC-1
FORM - DFA-PAC-2
FORM - DFA-PAC-3

DW-17

Pickle Changes

Chapter 9 - TOC
Chapter 10 - App. C, Part 1
Chapter 10 - App. C, Part 2
Chapter 21 - 21.4
Chapter 21 - App. A

DW-17

FS Basis of Issuance &
Proration Table Charts

Chapter 15 - 15.6
FORM - DFA-WVW-100-A

DW-17

WV WORKS Increase # of Days
Request for Extension

Chapter 25 - 25.2
Chapter 25 - 25.3
Chapter 25 - 25.4

DW-17

Added Requirement Regarding Contract Staff;GED Exam Payment

Chapter 15 - 15.6
Chapter 19 - 19.2
Chapter 26 - 26.2
Chapter 26 - 26.3
FORM - DFA-LIEAP-7

DW-17

LIEAP Payments
Extension Committee

FORM - DFA-TR-1

DW-17

FORM

Chapter 4 - TOC
Chapter 4 - 4.2
Chapter 10 - TOC
Chapter 10 - 10.3
Chapter 10 - 10.4
Chapter 10 - 10.21
Chapter 10 - 10.22

DW-17

Medicare Drug Benefit
Food Stamp & Medicaid Changes

Chapter 10 - App. A
Chapter 10 - App. B

DW-17

2004 FS Annual Updates
Income Limits, etc.

FORM - DFA-QSQ-1

DW-17

DFA-QSQ-1
Revised OFS-MCAT-2

Chapter 4 - TOC
Chapter 4 - 4.2
Chapter 10 - 10.24
Chapter 10 - App. A
Chapter 13 - 13.10
Chapter 24 - TOC
Chapter 24 - 24.4
Chapter 24 - 24.14
FORM - DFA-CARS-1
FORM - DFA-WVW-1

DW-17

WV WORKS Reduction,
Elimination, and
Addition of Numerous Programs

Chapter 10 - App. A
Chapter 17 - 17.9

DW-17

2004 SMS & FMA Annual Updates

Chapter 13 - 13.8
Chapter 15 - 15.2
Chapter 15 - App. B
Chapter 15 - App. C
Chapter 24 - 24.4
Chapter 24 - 24.8
Chapter 24 - 24.9
Chapter 24 - 24.13
SCA Voucher Instructions

DW-17

2004 School Clothing Allowance

Revised MRT Forms

2004 School Clothing Allowance

Food Stamp
Definition of Reported Changes
 

Manual Conversion to Microsoft Word

2004 SMS & FMA Updates
 

NEMT
 

SSI-Related Medicaid Pension Plans

M-WIN Medicaid Implementation

6-Month Continuation of
Support Services
 

2004 FPL Updates
 

401K & SEPs for Food Stamps
 

WV WORKS
Clarifications & Additions

WV CHIP
Passive Redetermination

2004 COLA Updates
 

Food Stamp
Update 2 Deductions
 

WV WORKS
Pre-Employment Services
 

2004 SSI Annual Updates

Vance Court Order
Clothing Under Support Services

December 1, 2003
December 15, 2003

Non-Reimbursable Medical Deduction Changes
 

December 1, 2003 

FORM - DFA-EIP-1
EIP Agreement
FORM - DFA-TA-34
Training Agreement

The following forms should be printed in order to have the complete JOIN contract.

FORM - DFA-J- 3
JOIN Agreement
FORM - OFS-TS-12
Participant Time Sheet (Sample Att. A)
FORM - DFA-J-1
JOIN Individual Participation Agreement - (Sample Att. B)
FORM - DFA - JD-1
Job Experience Description - (Sample Att. C)
FORM - DFA-J-3A
Addendum/Renewal - (Sample Att. D)

The following forms should be printed in order to have the complete CWEP contract.

FORM - DFA-CWEP-3
CWEP Agreement
FORM - OFS-TS-12
Participant Time Sheet (Sample Att. A)
FORM - DFA-CWEP-1
CWEP Individual Participation Agreement (Sample Att. B)
FORM - DFA - JD-1
Job Experience Description - (Sample Att. C)
FORM - DFA-CWEP-3A
CWEP Addendum/Renewal (Sample Att. D)

Individual Forms

FORM - OFS-TS-12
Participant Time Sheet
FORM - DFA-CWEP-1
CWEP Individual Participation Agreement
FORM - CWEP-3A
CWEP Addendum/Renewal
FORM - DFA-J-1
JOIN Individual Participation Agreement
FORM - DFA-J-3A
JOIN Addendum/Renewal
FORM - DFA - JD-1
Job Experience Description
 

DW-17

WV WORKS
Updated Several Contracts & Forms

December 1, 2003

November 1, 2003 

X

X