C1 - TOC Table of Contents
Section 1.1 Introduction
Section 1.2 General Information
Section 1.3 Application Form
Section 1.4 SNAP Application Process
Section 1.5 Adult Group
Section 1.6 Parents/Caretaker Relatives
Section 1.7 Medicaid for Deemed Parents/Caretaker Relatives
Section 1.8 Transitional Medicaid (TM)
Section 1.9 Children Under Age 19
Section 1.10 Poverty-Level Pregnant Women
Section 1.11 Reserved for Future Use
Section 1.12 Continuously Eligible Newborn Children
Section 1.13 SSI Recipients
Section 1.14 Deemed SSI Recipients
Section 1.15 Qualified Medicare Beneficiaries (QMB), and Specified Low-Income Medicare Beneficiaries
(SLIMB) and Qualified Individuals (QI-!)
Section 1.16 Qualified Disabled Working Individuals (QDWI)
Section 1.17 Illegal Aliens
Section 1.18 Individual Receiving Home and Community Based Services Under Title XIX Waivers
Section 1.19 Children with Disabilities Community Services Program (CDCS)
Section 1.20 AIDS Drug Assistance Program
Section 1.21 AFDC-Related Medicaid
Section 1.22 SSI-Related Medicaid, Aged, Blind and Disabled
Section 1.23 SSI-Related/Non-Cash Assistance
Section 1.24 Procedures in the Medicaid Application Process
Section 1.25 WV WORKS
Section 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