reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter C - ADULT PLACEMENT SERVICES › Section .0100 - SERVICE REQUIREMENTS › Section 71C .0107 - TERMINATION OF ADULT PLACEMENT SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Prior
				  to Adult Placement Services being terminated, the social worker must review
				  available information and make contacts with significant persons to determine
				  whether services need to be continued, and to reach closure with the client and
				  involved parties. If there are no identifiable client needs that can be
				  addressed by the agency, or those needs are being met by another party, Adult
				  Placement Services may be terminated in accordance with policies codified in
				  10A NCAC
				  71R .0600, which is incorporated by
				  reference, including subsequent amendments and editions. Copies of this Rule
				  may be obtained from the Office of Administrative Hearings, 6714 Mail Service
				  Center, Raleigh, NC 27699-6714, (919) 733-2678, at a cost of two dollars and
				  fifty cents ($2.50) for up to ten pages and fifteen cents ($.15) for each
				  additional page at the time of the adoption of this Rule. If Adult Placement
				  Services have been ordered by the court under Adult Protective Services,
				  services will terminate when the order expires.
(b) Contacts may be made in person, by
				  telephone, or by letter but must allow for sufficient information to be
				  obtained to make a determination about the need for services.
(c) Documentation must reflect the contacts
				  which were made to make the determination.
Authority
					 G.S.
					 143B-153;
Eff. March 1,
					 1994;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. May 20,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter C - ADULT PLACEMENT SERVICES › Section .0100 - SERVICE REQUIREMENTS › Section 71C .0108 - COORDINATION WITH OTHER SERVICE PROVIDERS

Current through Register Vol. 39, No. 2, July 15, 2024
Documentation in the client's case record must include
					 information about other agencies or service providers who are known to be
					 involved with the client. If any of those parties are involved in placement,
					 adjustment, or relocation services with the client, documentation must reflect
					 how these services are being coordinated so as not to duplicate efforts. If the
					 placement social worker in the department of social services is the most
					 appropriate or only source of assistance, and the client meets the criteria in
					 the target population in
					 10A NCAC
					 71R .0919, an application must be made in
					 accordance with
					 10A NCAC
					 71R .0400 and Adult Placement Services
					 provided.
					 10A NCAC
					 71R .0919 and
					 71R .0400 are incorporated by
					 reference, including subsequent amendments and editions. Copies of these Rules
					 may be obtained from the Office of Administrative Hearings, 6714 Mail Service
					 Center, Raleigh, NC 27699-6714, (919) 733-2678, at a cost of two dollars and
					 fifty cents ($2.50) for up to ten pages and fifteen cents ($.15) for each
					 additional page at the time of the adoption of this Rule.
Authority
					 G.S.
					 143B-153;
Eff. March 1,
					 1994;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. May 20,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter D - ADULT CARE HOME CASE MANAGEMENT SERVICES › Section .0100 - GENERAL POLICIES › Section 71D .0101-.0103 - EXPIRED

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131D-4.3;
					 143B-153;
Temporary
					 Adoption Eff. January 1, 1996;
Eff. April 1, 1997;
Expired Eff. June 1, 2017 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter E - RESIDENT EVALUATION SERVICES FOR ADULTS › Section .0100 - GENERAL POLICIES › Section 71E .0101-.0109

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143B-153; S.L. 1999-237;
Temporary Adoption Eff. January 1, 2000;
Eff. April 1,
					 2001;
Repealed Eff. July 1, 2012.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter F - INDIVIDUAL AND FAMILY ADJUSTMENT SERVICES › Section 71F .0101 - NATURE AND SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The definition
				of individual and family adjustment services is set forth in
				10A NCAC
				71R .0910.
(b) Casework counseling is at the core of
				this service. In the context of this service casework counseling is a process
				between social worker and client based on a mutual exchange of ideas, opinions,
				information and consideration of alternatives intended to result in decisions
				and positive action on the part of the client which will contribute to
				resolution of or adjustment to identified problems.
(c) Specialized counseling may be provided in
				the specified problem areas referred to in
				10A NCAC
				71R .0910.
(d) Counseling as a part of this service is
				not psychotherapy nor is it treatment oriented.
Authority
				  G.S.
				  143B-153;
Eff. July 23,
				  1979;
Amended Eff. July 1, 1990; July 1, 1984;
Pursuant
				  to G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter F - INDIVIDUAL AND FAMILY ADJUSTMENT SERVICES › Section 71F .0102 - STAFF QUALIFICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Casework
				counseling as a part of this service is to be provided by social workers who
				meet at least the minimum qualifications of a social worker trainee under state
				personnel regulations.
(b) Social
				workers with the qualifications described in .0102(a) of this Rule may provide
				casework counseling as a part of this service without specialized training in
				the specified problem areas referred to in
				10A NCAC
				71R .0910 regardless of the nature of the
				client's problems.
(c) County
				department of social services staff with qualifications less than the minimum
				required by state personnel regulations for a social worker trainee may be
				assigned to assist casework staff in the provision of this service as a part of
				a team approach when their activities in the case are supervised by the
				caseworker providing the individual and family adjustment services in the
				case.
(d) Paraprofessional staff
				within a county department of social services may not carry case management
				responsibility for a service case.
(e) In support of individually identified
				casework counseling objectives the supervising social worker may delegate
				paraprofessional staff to give certain information and instruction to clients,
				help arrange for and schedule client appointments with other resources, make
				follow-up contacts with client collaterals, or other service providers, and
				maintain with clients the kind of supportive relationship which can help keep
				them motivated to pursue achievement of their goals and assure continuity of
				service utilization within and outside the department of social
				services.
(f) Homemaker services
				may be provided in conjunction with or in support of individual and family
				adjustment services, but homemakers may not provide this discrete
				service.
(g) Specialized counseling
				in specified problem areas may be provided in county departments of social
				services only by staff with at least the minimum qualifications of a social
				worker trainee under state personnel regulations who have received training in
				the particular problem areas to which they are assigned.
(h) County departments of social services
				must be able to document, if required to do so, that personnel assigned to
				deliver specialized counseling in the specified problem areas are appropriately
				qualified.
(i) Staff providing
				social development through therapeutic group services must meet at least the
				minimum qualifications of a Social Worker I.
Authority
				  G.S.
				  143B-153;
Eff. July 23,
				  1979;
Amended Eff. July 1, 1990; July 1, 1984;
Pursuant
				  to G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter F - INDIVIDUAL AND FAMILY ADJUSTMENT SERVICES › Section 71F .0103 - METHODS OF PROVISION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Individual and
				family adjustment services are to be made available by every county department
				of social services. This mandate does not require that specialized staff be
				made available for the purpose of providing specialized counseling aimed at
				dealing with the problems specifically identified in
				10A NCAC
				71R .0910. With respect to these problem
				areas, the mandate may be fulfilled by assisting individuals to recognize the
				need for and utilize community resources which provide specialized
				counseling.
(b) Individual and
				family adjustment services may be provided directly by the county department of
				social services or purchased under contract. Camping experiences may be
				purchased also through direct and cash payments.
(c) Contract provider staff delivering
				services directly to clients must have appropriate education, skill and
				experience to qualify them in the specific areas in which they are providing
				services.
(d) Counseling may be
				provided in individual or group sessions.
Authority
				  G.S.
				  143B-153;
Eff. July 23,
				  1979;
Amended Eff. July 1, 1984;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter F - INDIVIDUAL AND FAMILY ADJUSTMENT SERVICES › Section 71F .0104 - SOCIAL DEVELOPMENT THROUGH THERAPEUTIC GROUPS/DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				"Structured Group" means a company of individuals brought together for a
				particular purpose with membership being selected purposefully on the basis of
				common characteristics, needs or problems that can be expected to be affected
				through group interaction.
(b)
				"Therapeutic Group" means a structured company of individuals who meet together
				with a skilled leader for the purpose of:
(1)
				learning to copy with personal problems,
(2) developing capacities for more adequate
				social and personal function,
(3)
				relieving social isolation,
(4)
				increasing understanding between the group and the service agency.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter F - INDIVIDUAL AND FAMILY ADJUSTMENT SERVICES › Section 71F .0105 - SOCIAL DEVELOP/THERAPEUTIC GROUPS/CRITERIA/SERV PROVISION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Social development through therapeutic
				group services is always provided for two or more individuals at the
				time.
(b) The group must always be
				both structured and therapeutic as defined in (a) and (b) of Rule .0104 in this
				Subchapter.
(c) The group must
				always be guided by a qualified leader who can be expected to direct group
				interaction towards the therapeutic goal. As a minimum, the leader must have
				the qualifications of a Social Worker I as shown in state personnel
				requirements and have experience or training providing social services by the
				group work method.
(d) Recreational
				activities are allowable only to the extent that they are specifically
				supportive of the purpose of social development through therapeutic group
				services and must be consistent with the focus of other services provided as
				part of the service plan.
(e) Day
				or residential camp is limited to school age children. School age may be
				verified by documenting that the child is attending school or enrolled to
				attend school in one of the grades of kindergarten through 12, or by birth
				verification showing age 5 through 15. Age 16 and older must be attending or
				enrolled in school up through grade 12. Age must be verified by:
(1) a birth certificate,
(2) a hospital record or
				certificate,
(3) social security
				records,
(4) the client's notarized
				affidavit.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter G - STATE ABORTION FUND › Section 71G .0101-.0102 - EXPIRED

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  14-45.1;
				  143B-153; 1995 S.L., c. 324, s.
				  23.27;
Eff. February 1, 1978;
Amended Eff. February 1,
				  1986; January 1, 1983;
Temporary Amendment Eff. August 13, 1993 for
				  a period of 180 days or until the permanent rule becomes effective, whichever
				  is sooner;
Amended Eff. November 1, 1995; December 1,
				  1993;
Expired Eff. June 1, 2017 pursuant to
				  G.S.
				  150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter G - STATE ABORTION FUND › Section 71G .0104 - EXPIRED - COUNTY DEPARTMENT OF SOCIAL SERVICES RESPONSIBILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  14-45.1;
				  143B-153; 1985 S. L., c. 479, s.
				  93;
Eff. December 1, 1990;
Expired Eff. June 1, 2017
				  pursuant to
				  G.S.
				  150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter H - PERSONAL AND FAMILY COUNSELING › Section 71H .0101 - SERVICE STAFF QUALIFICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Minimum qualifications have been established for personal and
				  family counseling service staff to promote competence and accountability in the
				  delivery of personal and family counseling services and to ensure that
				  recipients will be protected from non-professional untrained practitioners who
				  represent themselves to the public as qualified marriage and family
				  counselors:
(1) Counselors operating
				independently as private practitioners must meet the requirements in at least
				one of the following categories:
(a)
				Graduation with a master's degree from an accredited school of social work,
				eligible for or holding membership in the National Association of Social
				Workers, eligible for or holding membership in the Academy of Certified Social
				Workers, and five years of full-time experience in agencies providing
				supervision by professionally trained social workers, of which two years were
				consecutively in one agency under such supervision while giving direct service
				and using the method or methods to be used in private practice;
(b) Graduation with a doctoral degree in
				psychology from an accredited educational institution, two years of subsequent
				professional experience as a psychologist at least one of which involved
				providing direct services and using the method or methods to be used in private
				practice; and licensed as a practicing psychologist under the laws of North
				Carolina;
(c) Licensure and
				registration in North Carolina as a nurse, graduation from an accredited
				master's program in psych-mental health or behavioral science and five years of
				full-time clinical experience in agencies providing supervision by qualified
				psychiatric nurse practitioners, of which two years were consecutively in one
				agency under such supervision, while giving direct service and using the method
				or methods to be used in private practice;
(d) Graduation with a master's degree from an
				accredited educational institution in a related behavioral science field,
				mental health discipline or theology and eligible for or holding membership in
				the American Association of Marriage and Family Therapists, or the American
				Group Psychotherapy Association, or the American Association of Pastoral
				Counselors and five years of full-time experience in agencies providing
				supervision by professionally qualified individuals as defined in Subparagraph
				(3) of this Rule, of which two years were consecutively in one agency under
				such supervision while giving direct services and using the method or methods
				to be used in private practice;
(e)
				A privately practicing psychologist delivering this service must also be
				licensed at the practitioner level in compliance with
				G.S.
				90-270.11.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter H - PERSONAL AND FAMILY COUNSELING › Section 71H .0102 - CASELOAD

Current through Register Vol. 39, No. 2, July 15, 2024
Personal and family counselors operating full-time within a
				  county department of social services shall carry no more than 25 active cases,
				  and shall limit actual counseling time to 25 hours a week.
Authority
				  G.S.
				  143B-153;
Eff. February 16,
				  1977;
Readopted Eff. October 31, 1977;
Amended Eff.
				  July 1, 1990;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter H - PERSONAL AND FAMILY COUNSELING › Section 71H .0103 - MAXIMUM RATES AND REIMBURSEMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				Department of Social Service Staff. Reimbursement for personal and family
				counseling services delivered directly by the county department of social
				services staff may be claimed in accordance with procedures established by the
				controller.
(b) Purchase Contracts.
				Reimbursement for personal and family counseling provided under a purchase of
				service contract will be made in accordance with the terms of each individual
				contract. Procedures for claiming reimbursement are established by the
				controller. Contract providers shall not charge or collect additional payment
				from clients for the delivery of services authorized by a county department of
				social services.
(c) Vendor
				Agreements. Maximum rates have been set by the North Carolina Social Services
				Commission for the purchase of Personal and Family Counseling Services under
				contract. Information regarding the maximum rate is contained in policy
				material of the North Carolina Division of Social Services, Adult and Family
				Services Section, 325 North Salisbury Street, 2405 Mail Service Center,
				Raleigh, North Carolina 27699-2405.
Authority
				  G.S.
				  143B-10;
				  143B-153;
Eff.
				  February 16, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 1990; January 1, 1984; October 19, 1978;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter I - TRANSPORTATION SERVICES › Section 71I .0101 - NATURE AND SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
A description of the types of client transportation to be
				  made available by a county department of social services as provided for within
				  the definitions of the following services (10A NCAC 71R
				  .0900) must be documented in the local transportation
				  development plan or, in the absence of a transportation development plan, in
				  the minutes of the county social services board reflecting board
				  approval:
(1) Community living
				services;
(2) Day care services for
				adults;
(3) Employment and training
				support services;
(4) Health
				support services;
(5)
				Transportation services.
Authority
				  G.S.
				  143B-153;
Eff. February 16,
				  1977;
Readopted Eff. October 31, 1977;
Amended Eff.
				  July 1, 1990; July 1, 1984; July 23, 1979;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter I - TRANSPORTATION SERVICES › Section 71I .0102 - METHOD OF PROVISION

Current through Register Vol. 39, No. 2, July 15, 2024
Transportation services may be provided directly by the
				  county department of social services, or through purchase of service contracts,
				  or by vendor payment, or by cash payment to the client, or through volunteers.
				  The department of social services may choose to use one or more of these
				  methods concurrently. The transportation resources chosen shall appropriately
				  meet the clients' individual needs in the most cost effective manner
				  possible.
(1) Direct Provision.
(a) Driver Qualifications. All county
				departments of social services staff, including full-time drivers, volunteers,
				and other staff whose regular primary responsibilities include transporting
				clients to and from service resources must be at least 18 years of age and hold
				an appropriate operator's license as required by
				G.S.
				20-7.
(b) Insurance Requirements. County
				departments of social services providing direct transportation services shall
				have sufficient liability and comprehensive insurance coverage to adequately
				protect the agency and the individuals transported. A guide for minimum
				coverage shall be the amount required for common carrier-passenger vehicles by
				the North Carolina Utilities Commission, Department of Commerce, 430 N.
				Salisbury Street, 4325 Mail Service Center, Raleigh, N.C 27699-4325.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter J - HEALTH SUPPORT SERVICES › Section 71J .0101 - NATURE AND PURPOSE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The definition
				of health support services is set forth in
				10A NCAC
				71R .0900.
(b) Medical services (diagnosis, treatment
				and care) are limited to nontherapeutic sterilization.
Authority
				  G.S.
				  143B-153;
Eff. March 1,
				  1977;
Readopted Eff. October 31, 1977;
Amended Eff.
				  July 1, 1990; July 1, 1984; June 1, 1982; September 15, 1978;
Temporary Amendment Eff. October 21, 1996;
Amended Eff. July 1,
				  1998;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter J - HEALTH SUPPORT SERVICES › Section 71J .0102 - METHODS OF PROVISION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Health support
				services may be provided directly by the county department of social services
				or may be purchased.
(b) In cases
				where the recipient is able to arrange for and obtain the resource items
				described in Rules .0108 (b), .0110 and .0111 of this Subchapter, the cash
				payment method of provision may be used.
Authority
				  G.S.
				  143B-153;
Eff. March 1,
				  1977;
Readopted Eff. October 31, 1977;
Amended Eff.
				  July 1, 1984;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter J - HEALTH SUPPORT SERVICES › Section 71J .0103 - SCOPE OF SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Health support services are casework services designed to
				  motivate individuals and families to utilize information and resources which
				  will promote and preserve their optimum level of health thus increasing their
				  potential to be happy and productive citizens:
(1) Helping individuals and families to
				recognize health needs includes the provision of counseling, individual or
				group instruction and educational materials focused on the following:
(a) basic health needs such as nutrition,
				exercise, rest, cleanliness, regular physical examinations, necessary
				immunizations, perinatal care, maternal and child health, and family
				planning;
(b) noticeable physical
				problems or developmental disabilities such as speech impediments, crossed
				eyes, hearing difficulties, orthopedic irregularities, disfiguring scars or
				birth marks, skin allergies, dental cares, need for dental plates or braces,
				obesity, cerebral palsy, muscular dystrophy, etc.;
(c) identifiable mental health related
				problems, such as mental retardation, mental illness, emotional disturbance,
				alcohol or drug abuse;
(d)
				suspected chronic disease such as arthritis, emphysema, heart disease, kidney
				disease, diabetes, cancer, etc.;
(e) communicable disease such as
				tuberculosis, measles, mumps, polio, venereal diseases, etc.;
(f) physical and occupational
				therapy;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter J - HEALTH SUPPORT SERVICES › Section 71J .0104 - MEDICAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Medical
				services related to nontherapeutic sterilization as described in
				10A NCAC
				71R .0900 must be performed by licensed or
				certified medical providers.
(b)
				Nontherapeutic sterilization is provided only for persons 21 years of age or
				older who are capable of giving informed consent. Nontherapeutic sterilization
				is any procedure or operation the primary purpose of which is to render an
				individual permanently incapable of reproducing.
Authority
				  G.S.
				  143B-153;
				  42 C.F.R.
				  441.253;
Eff. June 1,
				  1982;
Amended Eff. July 1, 1990; July 1, 1984;
Temporary Amendment Eff. October 21, 1996;
Amended Eff. July 1,
				  1998;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter J - HEALTH SUPPORT SERVICES › Section 71J .0105 - FUNDING FOR MEDICAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Title
				XIX (medicaid) shall be utilized as the first funding option for medical
				services. County departments of social services electing to provide medical
				services as described in
				10A NCAC
				71R .0900 shall be responsible for the
				processing and payment of provider claims pursuant to those medical services
				authorized by the county.
(b) If
				individuals have health insurance which will cover all or part of the bill for
				medical services, the amount allowed under Social Services Block Grant (Title
				XX) will be the difference between the insurance payment and the maximum amount
				which would be allowed at medicaid rates. If the individual's insurance pays
				more than the allowable medicaid rate no funds will be available from Social
				Services Block Grant (Title XX).
(c) Provider claims for authorized medical
				services must be filed within six months of the date of service.
Authority
				  G.S.
				  143B-153;
Eff. June 1,
				  1982;
Amended Eff. July 1, 1990; July 1, 1984; July 1,
				  1982;
Temporary Amendment Eff. October 21, 1996;
Amended Eff. July 1, 1998;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter J - HEALTH SUPPORT SERVICES › Section 71J .0106 - OPTIONAL RESOURCES

Current through Register Vol. 39, No. 2, July 15, 2024
Optional resources as defined in
				  10A NCAC
				  71R .0900 may be used to support a service
				  plan developed for individuals who are aging, disabled or handicapped. For
				  purposes of the optional resources, the following definitions and rules
				  apply:
(1) "Aging" means age 60 years
				or older.
(2) "Disabled" means
				unable to engage in any substantial gainful activity by reason of a medically
				determinable physical or mental impairment which can be improved, corrected or
				ameliorated but which can be expected to last, or which has lasted, for a
				continuous period of not less than 12 months.
(3) "Handicapped" means impaired in mind or
				body with reasonable certainty that, because of the irremediable character of
				the impairment, the impairment cannot be improved, corrected or ameliorated and
				will continue at the same level of seriousness throughout the lifetime of the
				individual, and the individual must learn to function within the set parameters
				of the impairment.
(4) Under these
				definitions a disability may be temporary in that, although it has existed or
				is expected to exist at least 12 months, there is the expectation that the
				impairment can be restored to some extent. Also, a disability may be total
				during the time that it does exist, i.e., the individual is unable to perform
				any substantial part of his ordinary activities. By contrast, a handicap is an
				impairment that is permanent and is not expected to be restored, but it may or
				may not be disabling to the individual in terms of his being able to perform
				his ordinary activities.
(5) An
				individual may be handicapped in terms of having an irremediable impairment but
				may also be considered disabled for purposes of impairments that can be
				improved, corrected or ameliorated. The two conditions are not mutually
				exclusive.
(6) "Own Home" means
				that the service recipient is living in a residence he maintains for himself
				or, with respect to an adult or child for whom a county department of social
				services or licensed child-placing agency has legal responsibility, a family
				care home for adults or a foster family home for children. "Own Home" does not
				include any group care beyond these particular family care arrangements, any
				institution as defined by law, a home for the aged (HA), skilled nursing
				facility (SNF) or an intermediate care facility (ICF).
(7) "Homebound" means that the individual
				lacks the mental or physical capacity to leave his home without
				assistance.
Authority
				  G.S.
				  143B-153;
Eff. July 1,
				  1984;
Amended Eff. July 1, 1990;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter J - HEALTH SUPPORT SERVICES › Section 71J .0107 - SPECIFIC ELIGIBILITY FOR OPTIONAL RESOURCES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In
				addition to meeting basic eligibility criteria, under the Social Services Block
				Grant (Title XX), as described in
				10A NCAC
				71R an individual must, in order to be
				eligible for the optional resources described in 71J .0108 - .0111 also be
				determined to be either aging, disabled or handicapped in accordance with the
				specified definitions.
(b) Age must
				be verified by:
(1) a birth
				certificate,
(2) a hospital record
				or certificate,
(3) social security
				administration records, or
(4) the
				client's notarized affidavit.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter J - HEALTH SUPPORT SERVICES › Section 71J .0108 - OPTIONAL RESOURCES/COMPONENT 1

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Interpreters
				may be provided for deaf persons to enable them to communicate their needs and
				to utilize and benefit from services and community resources that are otherwise
				unavailable to them because of communication problems.
(1) Interpreter service is provided for
				individuals who have a hearing impairment that necessitates reliance upon the
				use of sign language for communication.
(2) Selection of an interpreter is based on
				the client's need and the availability of individuals who can provide
				interpreter services.
(3) Prior to
				the provision of the service, a vendor agreement must be made covering the
				duties of the provider and the rate of pay. The amount of time provided is
				based on the recipient's needs; however, if the client will need an on-going or
				extended period of service, prior approval may be given but not to exceed the
				individual's period of eligibility.
(4) Allowable Costs and Reimbursement.
				Maximum rates have been set by the North Carolina Social Services Commission
				for purchase of interpreters for deaf persons under vendor agreements.
				Information regarding maximum rates is contained in policy material issued by
				the division and is available in accordance with
				10A NCAC
				71R .0302. When included in a vendor purchase
				agreement, payment may also be made for round trip travel by the interpreter
				between his work station and the deaf person needing services. Reimbursement
				for such travel payment is available up to the state's maximum travel allowance
				per vehicle mile for automobile expenses.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter J - HEALTH SUPPORT SERVICES › Section 71J .0109 - OPTIONAL RESOURCES/COMPONENT 2

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Installation of
				ramps, rails, and other safety measures may be provided to increase mobility
				and enable a person to follow gainful activity in his own home without the
				threat of seriously damaging or injuring his health. Apparatuses in this
				category include bars, tub seats, grab bars, raised toilet seats, flexible
				shower heads, rails of all sorts, monkey bars, litters, drips, ramps, and other
				apparatuses which are affixed in a nonportable condition.
(1) Reimbursement not to exceed reasonable
				and necessary costs is allowable for apparatuses and their installation and for
				periodic adjustment and repair. Installations must conform with local and state
				building codes.
(2) When the
				installation of an apparatus provided under this component involves substantial
				physical alteration or structural change to the premises, prior written
				approval must be obtained from the owner or authorized agent for the house in
				which the item is to be installed.
(3) When satisfactory use of an apparatus
				depends upon adequate instructions to the individual, the provider agency must
				ensure the provision of such instructions.
(4) Any apparatus provided through this
				component is purchased for the individual recipient. Therefore, the provider
				agency holds no ownership and may not reclaim the item. However, the recipient
				may make an agreement to donate the item to the agency for another client's use
				when he ceases to need it.
(5) When
				a particular apparatus is donated back to the agency by a previous user,
				reimbursement for the cost of the item may not be claimed again when it is
				provided to another client. However, reasonable and necessary charges for
				renovations and repairs may be claimed and reimbursed as a cost of service to
				the second recipient.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter J - HEALTH SUPPORT SERVICES › Section 71J .0110 - OPTIONAL RESOURCES/COMPONENT 3

Current through Register Vol. 39, No. 2, July 15, 2024
Friendly visitors or companions may be arranged for or
				  provided for part of a day to assist individuals who, because of frailty,
				  physical or mental disability or social isolation have limited contacts with
				  other people.
(1) The provision of
				friendly visitors or companions requires prior approval by the county
				department of social services or contract provider in terms of hours of service
				and rate of pay where costs of the service are to be reimbursed.
(2) It is appropriate to provide this service
				without cost through the use of trained volunteers.
(3) Reimbursement for mileage is allowable at
				the maximum rate established by the Social Services Commission for
				transportation services.
(4)
				Reimbursement is available for hours spent providing service based on rates
				agreed upon prior to the provision of the service. Companionship service is
				exempt from the Fair Labor Standards Act. The maximum allowable cost is the
				current minimum wage. Reimbursement is allowable for this service when a
				written vendor purchase agreement has been completed.
Authority
				  G.S.
				  143B-153;
Eff. July 1,
				  1984;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. May 20,
				  2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter J - HEALTH SUPPORT SERVICES › Section 71J .0111 - OPTIONAL RESOURCES/COMPONENT 4

Current through Register Vol. 39, No. 2, July 15, 2024
The special health needs component allows for the provision
				  of necessities which constitute an imperative health need of an individual
				  because of health deterioration or because the need is specific to the
				  correction, improvement or amelioration of a disability, and the provision of
				  such necessities will enable the individual to continue to live in his own
				  home.
(1) Reimbursement is allowable at
				costs not to exceed an amount reasonable and necessary to ensure quality
				products and to provide for periodic adjustment and repair.
(2) The following items or services are
				specifically excluded from the scope of this resource component:
(a) diagnostic assessment or reassessment
				procedures;
(b) special food or
				diet regimen;
(c) clothing other
				than special apparel prescribed or advised by a physician;
(d) any furniture not in the nature of an
				adaptive device;
(e) supplies,
				appliances and equipment of a cosmetic nature unless the person cannot do
				without the item and continue to remain in his own home;
(f) services, equipment, supplies or
				appliances available under medicaid or medicare to the individual in his own
				home;
(g) x-rays -- diagnostic or
				treatment;
(h) a physician's care,
				physical, speech or occupation therapy;
(i) prescription drugs;
(j) non-prescription medicine except as
				advised or prescribed by a physician.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter K - PROBLEM PREGNANCY SERVICES › Section .0100 - GENERAL › Section 71K .0101-.0102

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143B-153;
Eff. April 1,
					 1978;
Repealed Eff. August 1,
					 2021.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter L - MATERNITY HOME FUND › Section 71L .0101 - NATURE AND SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) "Application
				for State Maternity Fund" Form DSS-6187, which may be accessed at
https://policies.ncdhhs.gov/divisional/social-services
for an individual needing out-of-home care during pregnancy must be submitted
				by a county department of social services or a North Carolina licensed private
				adoption agency to the North Carolina Division of Social Services for review
				and approval.
(b) The State
				Maternity Fund may assist with residential housing costs for up to 183 days,
				including up to two weeks of post-partum care for the mother only.
(c) The State Maternity Fund shall not be
				utilized for hospitalization and delivery services or other medical services.
				All medical services for State Maternity Fund clients residing in alternate
				living arrangements must be provided through other resources.
(d) The State Maternity Fund may be used to
				pay for residential care for a pregnant minor who is in the protective custody
				of a county department of social services when the minor is placed in a
				facility that is not approved to receive foster care funds.
(e) Living arrangements for which State
				Maternity Fund payments may be utilized to pay for the cost of residential care
				include:
(1) A maternity home licensed by or
				meeting the maternity home standards of the State of North Carolina;
(2) A foster family home for children
				licensed in North Carolina and used in accordance with the license issued for
				that home;
(3) The home of a
				non-legally responsible relative in North Carolina jointly approved for a
				specific client by the North Carolina Division of Social Services and the
				agency requesting State Maternity Fund payments; or
(4) For individuals 18 and over, a boarding
				arrangement in North Carolina jointly approved for a specific client by the
				North Carolina Division of Social Services and the referring agency.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter L - MATERNITY HOME FUND › Section 71L .0102 - APPROVAL CRITERIA

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A county
				department of social services or a North Carolina licensed private adoption
				agency shall provide information, develop a service plan, and coordinate
				services for pregnant clients for whom they are requesting State Maternity Fund
				payments.
(b) Marital status and
				age shall not affect eligibility for State Maternity Fund payments.
(c) The client must be a resident of the
				State of North Carolina to be eligible for State Maternity Fund
				payments.
(d) State Maternity Fund
				payments shall supplement any other funds available from applicants, county
				departments of social services, families or private agencies. The agency
				requesting State Maternity Fund payments must review all financial resources
				available to the client. The agency must establish that resources available to
				the client are not adequate to meet residential costs.
(e) State Maternity Fund payments to licensed
				maternity homes is based on the actual per diem cost of care. A maternity home
				shall maintain a valid maternity home license for a consecutive one year period
				and submit an audited financial statement to the North Carolina Department of
				Health and Human Services, Controller's Office (2019 Mail Service Center,
				Raleigh, NC 27699-2019) before the per diem rate is assigned. A licensed
				maternity home is eligible for reimbursement from maternity home funds in the
				second year of operation if this criteria is met and maternity home funds are
				available.
(f) State Maternity Fund
				payments for care in a foster home is the North Carolina standard board rate
				for foster care assistance set by the General Assembly.
(g) State Maternity Fund payments for care in
				the home of a non-legally responsible relative or in a boarding arrangement
				shall be the same as the North Carolina standard board rate for foster care
				assistance.
Authority
				  G.S.
				  143B-153;
Eff. April 1,
				  1978;
Amended Eff. November 1, 2009; July 1, 1990; January 1,
				  1983;
Readopted Eff. September 1,
				  2021.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter L - MATERNITY HOME FUND › Section 71L .0103 - APPLICATION PROCESS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) County
				departments of social services and North Carolina licensed private adoption
				agencies shall submit applications on behalf of an eligible individual for the
				State Maternity Fund in writing on the "Application for State Maternity Fund"
				Form DSS-6187, which may be accessed at
https://policies.ncdhhs.gov/divisional/social-services
.The
				original must be submitted to the State Maternity Fund Coordinator, Family
				Support and Child Welfare Services Section, Division of Social Services and
				shall include the following information:
(1)
				the reasons the client cannot remain in her own home (own home includes a
				foster care facility in which a child resides);
(2) a description of the client's financial
				resources;
(3) household gross
				monthly income(s), names and ages of other minor children in household, and
				statement of US citizenship or immigration status;
(4) a description of the recommended living
				arrangement and why it is appropriate;
(5) the proposed plan of services for the
				biological parents and the child;
(6) an explanation of why the necessary
				services cannot be obtained for the client in a community-based living
				arrangement;
(7) a tentative
				agreement to accept the client by the individual responsible for maintaining
				the recommended living arrangement; and
(8) the anticipated date of admission and the
				expected date of delivery (month, day, and year for both).
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter L - MATERNITY HOME FUND › Section 71L .0104 - REPEALED - ADDITIONAL REQUIREMENTS FOR THE PRIVATE AGENCY

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  143B-153;
Eff. April 1,
				  1978;
Amended Eff. January 1, 1983; March 1, 1982;
Repealed Eff. August 1, 2021.