Income Maintenance Manual

Chapter 1
Application/Redetermination Process

C1 .TOC Table of Contents
1.1 Introduction
 
1.2 General Information
 
1.3 Application Forms
 
1.4 SNAP Application Process
 
1.5
 
Adult Group
1.6
 
Parents/Caretaker Relatives
1.7 Medicaid for Deemed Parents/Caretaker Relatives Recipients
1.8
 
Transitional Medicaid (TM)
1.9 Children Under Age 19
1.10
 
Poverty-Level Pregnant Women
1.11
 
Reserved for Future Use
1.12
 
Continuously Eligible Newborn Children
1.13
 
SSI Recipients
1.14
 
Deemed SSI Recipients
1.15 Qualified Medicare Beneficiaries (QMB), Specified Low-Income Medicare Beneficiaries (SLIMB) and Qualified Individuals (QI-1)
1.16
 
Qualified Disabled Working Individuals (QDWI)
1.17
 
Illegal Aliens
1.18 Individuals Receiving Home and Community Based Services Under Title XIX Waivers
 
1.19

 
Children with Disabilities Community Services Program (CDCS)
1.20
 
AIDS Drug Assistance Program
1.21
 
AFDC-Related Medicaid
1.22
 
SSI-Related Medicaid, Aged, Blind and Disabled
1.23
 
SSI-Related/Non-Cash Assistance
1.24 Procedures in the Medicaid Application Process
1.25
 
WV WORKS
1.26 Former WV Foster Children
Appendix A
 
Commonly Used Acronyms and Abbreviations
Appendix B
 
Guide for Self-Sufficiency Plan
Appendix C

Effective Date of TANF State Plan
Appendix D

WV WORKS List of Local Services Template


Appendix E
Public Forms
  DFA-RR-1 - Rights & Responsibilities
Application/Redetermination
DFA-PAC-4 - Medicaid Redetermination
DFA-QSQ-1 - QMB / SLIMB / QI-1 Application
DFA-UH-5 - Application for Undue Hardship Waiver
DFA-SNAP-1- Application for SNAP
DFA-SLA-S1 - Supplement to Application for Health
Coverage
DFA-SLA-1 - Application for Health Coverage and
Help Paying Cost
DFA-SLA-2 - Application for Health Coverage and
Help Paying Cost ( short form )
DFA-2 - Application for Benefits
Appendix F Worker Responsibilities
Appendix G County Coordinator Responsibilities
Appendix H BCF state Coordinator Responsibilities


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This page was last updated on October 21, 2014 .