Page 29 - West Virginia
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Proof of Eligibility:
                                                                                      Guidelines and Examples


               Unacceptable Proofs of Eligibility


               Medicare Card:

























               Supplemental Security Income (SSI) Program:
               The following are NOT acceptable as proof of participation in the SSI Program:
                          o  Any document that shows the applicant is receiving Social Security benefits but
                              not SSI benefits. SSI benefits are administered through the Social Security
                              Administration but should specifically state that the applicant is enrolled in and
                              currently receiving benefits through the SSI program.
                          o  Any document showing that the customer has applied for SSI benefits and that
                              the application has been accepted but not showing that the benefits have been
                              approved or eligibility certified.






























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               Proprietary and Confidential                                                       1/21/2020
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