DW 17 Change 654 691
User Manual: 691
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WV INCOME MAINTENANCE MANUAL
MANUAL MATERIAL TRANSMISSION
DATE:
October 1, 2014
CHANGE NUMBER: 691
TO:
ALL INCOME MAINTENANCE MANUAL HOLDERS
DELETE
INSERT OR CHANGE
PAGES
CHAPTER
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27 – Deleted
1 - 13
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Beginning October 1, 2014, The Bureau for Children and Families Worker is no longer
responsible for the processing of non-emergency medical transportation (NEMT)
applications. NEMT administration will be the responsibility of the contracted NEMT
broker. The broker will be responsible for full administration of the program, including
customer services, provider enrollment, safety requirements, and monitoring for fraud and
abuse.
All inquiries or requests regarding NEMT after October 1, 2014 should be forwarded to the
broker.
The DFA-NEMT-1 and DFA-NEMT-1A forms will be removed from the public forms page
and obsoleted effective September 30, 2014. Because the client has 60 days to submit an
NEMT application, a Worker could continue to receive an DFA-NEMT-1 through November
30, 2014. The client may request a DFA-NEMT-1 after October 1, 2014 to request
reimbursement for travel dates prior to September 30, 2014. This is the only time a DFA-
NEMT-1 form should be provided to the client after October 1, 2014.
Applications received by the Department with a date of travel prior to October 1, 2014 will
be processed by the Worker. Applications received with a date of travel on or after
October 1, 2014 should be forwarded to the broker for processing and member education.
DW-17
Page: 2
Old Chapter 27
Sections 27.1 through 27.15, and Appendix A: All policy in these sections was placed into
new Appendix A for historical purposes.
Appendix B: NEMT public forms were obsoleted.
New Chapter 27
Added new policy that will be followed by the contracted NEMT transportation broker.
Section 27.1: INTRODUCTION
Section 27.2: NEMT REQUEST PROCESS
Section 27.3: VERIFICATION
Section 27.4: CLIENT NOTIFICATION
Section 27.5: SPECIFIC ELIGIBILITY REQUIREMENTS
Section 27.6: BENEFIT REPAYMENT
DW-17, Rev. 10/04
