| 
    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  |