reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter C - APPLICATION FOR MEDICAID BENEFITS › Section .0100 - APPLICATION PROCESS › Section 23C .0106 - MANDATORY USE OF OUTREACH LOCATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The county department of social services shall provide for
					 the acceptance of applications and initial interviews for M-PW and M-IC
					 coverage groups at certain outreach locations as follows:
(1) disproportionate share acute care
				  hospitals which serve the coverage groups listed; and
(2) Medicaid enrolled federally qualified
				  health centers.
Authority
					 G.S.
					 108A-43;
					 108A-54;
					 P.L.
					 101-508;
Temporary Adoption Eff. July
					 1, 1991, for a period of 180 days to expire
Eff. January 1,
					 1992;
Transferred from
					 10A NCAC
					 21B .0208 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter C - APPLICATION FOR MEDICAID BENEFITS › Section .0100 - APPLICATION PROCESS › Section 23C .0107 - HOURS FOR ACCEPTING FINANCIAL AND MEDICAL ASSISTANCE APPLICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The county department of social services must maintain the
					 same number of operating hours as in February of 2002. Provisions must be made
					 for acceptance of financial and medical assistance applications if the agency
					 elects to close for lunch or for other reasons during the
					 week.
Authority
					 G.S.
					 108A-54; Alexander v. Bruton Consent Order
					 dismissed Effective February 1, 2002;
Temporary Adoption Eff. March
					 1, 2003;
Eff. August 1, 2004;
Transferred from
					 10A NCAC
					 21B .0209 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter C - APPLICATION FOR MEDICAID BENEFITS › Section .0200 - APPLICATION PROCESSING, MONITORING AND CORRECTIVE ACTION › Section 23C .0201 - APPLICATION PROCESSING STANDARDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  county department of social services shall comply with the following standards
				  in processing applications:
(1) A decision
				  shall be made within the timeframes set out in
				  G.S.
				  108A-70.37;
(2) Only require information or verification
				  to establish eligibility for assistance;
(3) Make a minimum of two requests for all
				  information from the applicant or third party;
(4) Allow a minimum of 12 calendar days
				  between the initial request and a follow-up request and at least 12 calendar
				  days between the follow-up request and denial of the application;
(5) Inform the client in writing of the right
				  to request help in obtaining information requested from the client. The county
				  department of social services shall not discourage any client from requesting
				  such help;
(6) An application may
				  pend up to six months for verification that the deductible, as defined in
				  10A NCAC
				  23A .0102 has been met or disability
				  established; and
(7) When a hearing
				  decision reverses the decision of the county department of social services on
				  an application, pursuant to
				  10A NCAC
				  21A .0303, the application shall be reopened
				  within five business days from the date the final appeal decision is received
				  by the county department of social services. If the county department of social
				  services has all of the information needed to process the application, the
				  application shall be processed within five additional business days. If
				  additional information is needed pursuant to the final decision, the county
				  shall make such requests in accordance with this Rule. The first request for
				  the additional information shall be made within five business days of receipt
				  of the final appeal decision. The application shall be processed within five
				  business of receipt of the last piece of required information.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter C - APPLICATION FOR MEDICAID BENEFITS › Section .0200 - APPLICATION PROCESSING, MONITORING AND CORRECTIVE ACTION › Section 23C .0202 - MONITORING THRESHOLDS AND CORRECTIVE ACTION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Division of
				  Health Benefits employees, known as application monitors, shall review a random
				  sample of applications in all county departments of social services and the
				  Disability Determination Section (DDS) of the Division of Vocational
				  Rehabilitation to determine if counties are denying and withdrawing
				  applications in accordance with federal/state rules. The application monitors
				  shall also review inquiries where a person comes to the agency and decides not
				  to make an application to ensure person was given correct information under
				  federal/state rules. A county and DDS must meet a monitoring threshold of 80
				  percent in each area of denials, withdrawals and inquiries in order to be found
				  in compliance with federal/state rules.
(b) If the agency falls below the 80 percent
				  threshold, the agency must analyze why it fell below 80 percent and implement a
				  corrective action plan.
(c) The
				  agency or DDS may dispute monitoring findings within 10 workdays of receipt of
				  findings.
(d) Within 30 calendar
				  days of the final monitoring results, the agency must take corrective action to
				  reopen cases the application monitors determine were not handled pursuant to
				  federal/state rules.
Authority
					 G.S.
					 108A-54; Alexander v. Bruton, U.S.D.C., File
					 No. C-C-74-183-M, Consent Order dismissed effective February 1,
					 2002;
Temporary Adoption Eff. March 1, 2003;
Eff.
					 August 1, 2004;
Transferred from
					 10A NCAC
					 21A .0605 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23, 2016;
Amended Eff. March
					 1, 2020.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter C - APPLICATION FOR MEDICAID BENEFITS › Section .0200 - APPLICATION PROCESSING, MONITORING AND CORRECTIVE ACTION › Section 23C .0203 - TIMELINESS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Every month,
				  each county department of social services and the Disability Determination
				  Section (DDS) of the Division of Vocational Rehabilitation shall process
				  applications as follows:
(1) The average
				  processing time (APT) for the county department of social services shall be 90
				  days for M-AD and 45 days for all other aid program categories.
(2) APT for DDS shall be 70 days.
(3) The percentage processed timely (PPT)
				  standard for county departments of social services: Level I counties must
				  process 85 percent of applications within the 45/90 day time standard. Level II
				  and III counties must process 90 percent of applications within the 45/90 day
				  time standard. Counties are classified as Levels I through III based on
				  population of the county with Level I counties as the smallest in population
				  while Level III counties are the largest in population size.
(4) PPT standard for DDS: DDS must render a
				  decision within 70 days on 85 percent of cases for Level I counties and 90
				  percent of cases for Level II and III counties. For county levels refer to the
				  table below.
COUNTY LEVELS
ALAMANCE (II)
CUMBERLAND (III)
JOHNSTON (II)
RANDOLPH (II)
ALEXANDER (I)
CURRITUCK (I)
JONES (I)
RICHMOND (I)
ALLEGHANY (I)
DARE (I)
LEE (I)
ROBESON (II)
ANSON (I)
DAVIDSON (II)
LENOIR (II)
ROCKINGHAM (II)
ASHE (I)
DAVIE (I)
LINCOLN (I)
ROWAN (II)
AVERY (I)
DUPLIN (II)
MACON (I)
RUTHERFORD (II)
BEAUFORT (II)
DURHAM (III)
MADISON (I)
SAMPSON (II)
BERTIE (I)
EDGECOMBE (II)
MARTIN (I)
SCOTLAND (II)
BLADEN (I)
FORSYTH (III)
MCDOWELL (I)
STANLY (I)
BRUNSWICK (II)
FRANKLIN (I)
MECKLENBURG (III)
STOKES (I)
BUNCOMBE (III)
GASTON (III)
MITCHELL (I)
SURRY (II)
BURKE (II)
GATES (I)
MONTGOMERY (I)
SWAIN (I)
CABARRUS (II)
GRAHAM (I)
MOORE (II)
TRANSYLVANIA (I)
CALDWELL (II)
GRANVILLE (I)
NASH (II)
TYRRELL (I)
CAMDEN (I)
GREENE (I)
NEW HANOVER (III)
UNION (II)
CARTERET (II)
GUILFORD (III)
NORTHAMPTON (I)
VANCE (II)
CASWELL (I)
HALIFAX (II)
ONSLOW (II)
WAKE (III)
CATAWBA (III)
HARNETT(II)
ORANGE (II)
WARREN (I)
CHATHAM (I)
HAYWOOD (II)
PAMLICO (I)
WASHINGTON (I)
CHEROKEE (I)
HENDERSON (II)
PASQUOTANK (I)
WATAUGA (I)
CHOWAN (I)
HERTFORD (I)
PENDER (I)
WAYNE (II)
CLAY (I)
HOKE (I)
PERQUIMANS (I)
WILKES (II)
CLEVELAND (II)
HYDE (I)
PERSON (I)
WILSON (II)
COLUMBUS (II)
IREDELL (II)
PITT (II)
YADKIN (I)
CRAVEN (II)
JACKSON (I)
POLK (I)
YANCEY (I)
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter C - APPLICATION FOR MEDICAID BENEFITS › Section .0200 - APPLICATION PROCESSING, MONITORING AND CORRECTIVE ACTION › Section 23C .0204 - LOCAL CORRECTIVE ACTION TEAM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  Assistant Director for Recipient and Provider Services (R&PS) in the
				  Division of Health Benefits shall determine that a Local Corrective Action Team
				  is needed when the county department of social services (DSS) is out of
				  compliance with the monitoring or APT or PPT processing thresholds in any
				  category for 3 consecutive months, or, 5 months out of any 12 consecutive
				  months. The Local Corrective Action Team shall include the Medicaid Program
				  Representative and any additional state staff identified by the Assistant
				  Director for R&PS, the county department of social services director and
				  any county staff the county director designates, the county manager or the
				  chair of the county board of commissioners as selected by the county director,
				  a member of the general public as selected by the county director, the social
				  services board chairman or other board member for the county as selected by the
				  county director, and an independent management consultant at the option and
				  expense of the county.
(b) A Local
				  Corrective Action Team shall not convene when:
(1) All failures are attributable to
				  DDS.
(2) It is determined by DHB
				  Assistant Director for Recipient and Provider Services that the reasons for
				  non-compliance have been or are being corrected.
(3) Budgetary constraints decided by DHB
				  Assistant Director for R&PS do not allow travel for the purpose of
				  convening a corrective action team. Conference calls shall be held by the DHB
				  Assistant Director for R&PS when travel is not allowed as determined by
				  State officials due to fiscal constraints.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter C - APPLICATION FOR MEDICAID BENEFITS › Section .0200 - APPLICATION PROCESSING, MONITORING AND CORRECTIVE ACTION › Section 23C .0205 - STATE CORRECTIVE ACTION TEAM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A State
				  Corrective Action Team shall be convened by the Chairperson within 10 days
				  when:
(1) The county department of social
				  services (DSS) has failed to meet the compliance thresholds by the date
				  established by the local corrective action team.
(2) A local corrective action team requests
				  an extension of time, not to exceed three months, to meet the compliance
				  thresholds.
(3) DDS fails to meet
				  its compliance thresholds for 3 consecutive months or 5 out of 12 consecutive
				  months.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter D - MEDICAID ELIGIBILITYGROUPS AND CLASSIFICATION › Section .0100 - COVERAGE GROUPS › Section 23D .0101 - REPEALED - MANDATORY GROUPS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 42 U.S.C.
					 1396a(a)(10);
					 42 U.S.C. 1396a(e)(4);
					 42 U.S.C.
					 1396a(f);
					 42 C.F.R. 435.110;
					 42 C.F.R.
					 435.112;
					 42 C.F.R. 435.113;
					 42 C.F.R.
					 435.114;
					 42 C.F.R. 435.115;
					 42 C.F.R.
					 435.116;
					 42 C.F.R. 435.117;
					 42 C.F.R.
					 435.118;
					 42 C.F.R. 435.121;
					 42 C.F.R.
					 435.131;
					 42 C.F.R. 435.132;
					 42 C.F.R.
					 435.133;
Eff. September 1,
					 1984;
Amended Eff. January 1, 1995; March 1, 1993; January 4, 1993;
					 April 1, 1992;
Temporary Amendment September 13, 1999;
Temporary Amendment Expired June 27, 2000;
Temporary Amendment
					 September 12, 2000;
Amended Eff. August 1, 2002;
Transferred from
					 10A NCAC
					 21B .0101 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter D - MEDICAID ELIGIBILITYGROUPS AND CLASSIFICATION › Section .0100 - COVERAGE GROUPS › Section 23D .0102 - REPEALED - OPTIONAL GROUPS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 42 C.F.R.
					 435.210;
					 42 C.F.R. 435.222;
					 42 C.F.R.
					 435.230;
					 42 C.F.R. 435.301;
					 42 C.F.R.
					 435.308;
					 42 C.F.R. 435.322;
					 42 C.F.R.
					 435.330;
					 42 U.S.C. 1396(a)(10)(A)(ii);
					 42 U.S.C.
					 1396a(a)(10)(C); S.L. 1983,
					 c. 1034, s. 62.2; S.L. 1987, c. 738, s. 69 and 70; S.L. 1989, c. 752, s.
					 133;
Eff. September 1, 1984;
Amended Eff. February 1,
					 1992; July 1, 1991; August 1, 1990;
Temporary Amendment Eff.
					 September 12, 1994, for a period of 180 days or until the permanent rule
					 becomes effective, whichever is sooner;
Temporary Amendment Eff.
					 October 1, 1994, for a period of 180 days or until the permanent rule becomes
					 effective, whichever is sooner;
Amended Eff. January 1,
					 1995;
Temporary Amendment Eff. February 23, 1999;
Amended Eff. August 1, 2000;
Temporary Amendment Eff. January 1,
					 2002;
Amended Eff. April 1, 2003;
Transferred from
					 10A NCAC
					 21B .0102 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter D - MEDICAID ELIGIBILITYGROUPS AND CLASSIFICATION › Section .0200 - CLASSIFICATION › Section 23D .0201 - REPEALED - CLASSIFICATION

Current through Register Vol. 39, No. 2, July 15, 2024
Filed as a Temporary
					 Amendment Eff. October 1, 1994, for a period of 180 days or until the permanent
					 rule becomes effective, whichever is sooner;
Filed as a Temporary
					 Amendment Eff. September 12, 1994, for a period of 180 days or until the
					 permanent rule becomes effective, whichever is sooner;
Authority
					 G.S.
					 108A-54;
					 42 C.F.R.
					 435.2;
					 42 C.F.R. 435.4;
Eff.
					 September 1, 1984;
Amended Eff. January 1, 1995; August 1,
					 1990;
Temporary Amendment Eff. September 13, 1999;
Temporary Amendment Expired June 27, 2000;
Temporary Amendment Eff.
					 September 12, 2000;
Amended Eff. August 1, 2002;
Transferred from
					 10A NCAC
					 21B .0408 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0100 - NON-FINANCIAL REQUIREMENTS › Section 23E .0101 - REPEALED - AGE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 42 C.F.R.
					 435.520; Alexander v. Flaherty Consent Order
					 filed
February 14, 1992;
Eff. September 1,
					 1984;
Amended Eff. April 1, 1993; August 1, 1990;
Transferred from
					 10A NCAC
					 21B .0301 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0100 - NON-FINANCIAL REQUIREMENTS › Section 23E .0102 - REPEALED - UNITED STATES CITIZEN

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 42 C.F.R.
					 435.402;
					 8 U.S.C. 1161;
					 8 U.S.C.
					 1255a;
					 42 U.S.C. 1396b(v);
Eff. September 1, 1984;
Amended Eff. August 1, 2000; December 1,
					 1991; August 1, 1990;
Transferred from
					 10A NCAC
					 21B .0302 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0100 - NON-FINANCIAL REQUIREMENTS › Section 23E .0103 - RESIDENCE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  requirements stated in 42
				  CFR 435.403 shall apply to determine
				  residence in the State except for provisions in Paragraph (b) of this
				  Rule.
(b) Residents of the state of
				  Georgia who enter a long term care facility in NC within 40 miles of the
				  resident state's border shall retain residence in Georgia. Residents of NC who
				  enter a long term care facility in Georgia within 40 miles of the NC border
				  retain NC residency.
(c) An
				  individual visiting without intent to reside in the State shall be ineligible
				  for NC Medicaid.
(d) An individual
				  who moves to another state and intends to reside in that state shall not be
				  eligible for NC Medicaid.
(e)
				  County residence:
(1) Any client who moves
				  from one county to another North Carolina county shall continue to receive
				  assistance so long as eligibility continues.
(2) An individual has residence in the county
				  in which he or she resides. However, if he or she is in a hospital, mental
				  institution, intermediate care facility, skilled nursing home, boarding home,
				  penal institution, or similar facility, the county where the facility is
				  located shall not be his or her legal residence. Except for (e)(3) in this
				  Rule, the county of legal residence shall be the county where the individual
				  lived in a private living arrangement prior to entering a facility.
(3) If an individual who became disabled
				  prior to age 18 has remained in a facility, he or she remains a resident of the
				  county and state where his or her parent(s) had residence immediately prior to
				  his or her reaching age 18. If, as an adult, he or she is applying for
				  assistance and it is not possible for the individual to trace his or her county
				  of residence as a minor, he or she shall establish residence based on where he
				  or she intends to reside, regardless of his or her parent's current legal
				  residence.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0100 - NON-FINANCIAL REQUIREMENTS › Section 23E .0104 - REPEALED - DEPRIVATION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-28;
					 108A-54;
					 42 C.F.R.
					 435.510;
					 89 CVS 922;
Eff.
					 September 1, 1984;
Amended Eff. October 1, 1991; August 1,
					 1990;
Temporary Amendment Eff. August 5, 1999;
Amended
					 Eff. March 19, 2001;
Transferred from
					 10A NCAC
					 21B .0304 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0100 - NON-FINANCIAL REQUIREMENTS › Section 23E .0106 - BLINDNESS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) To qualify for
				  Medicaid under the category of Aid to the Blind, the client shall meet one of
				  the following conditions:
(1) receipt of
				  Medicaid on the basis of blindness in December 1973, has continued to meet
				  December 1973 eligibility criteria for each consecutive month thereafter, and
				  determined by the Disability Determination Services Section to have visual
				  acuity of 20/100 in the better eye with correction or visual field limitation
				  in the better eye of 30 percent or less; or
(2) applied for Medicaid since January 1,
				  1974 and meets the definition of blindness, vocational, and medical factors
				  applied under the Supplemental Security Income program, pursuant to
				  20 CFR
				  404, Subpart P.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0100 - NON-FINANCIAL REQUIREMENTS › Section 23E .0107 - REPEALED - CARETAKER RELATIVE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 42 C.F.R.
					 435.310;
Eff. September 1,
					 1984;
Amended Eff. April 1, 1993; August 1, 1990;
Transferred from
					 10A NCAC
					 21B .0307 Eff. May 1 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0100 - NON-FINANCIAL REQUIREMENTS › Section 23E .0108 - REPEALED - INMATE OF PUBLIC INSTITUTION OR PRIVATE PSYCHIATRIC HOSPITAL

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 42 C.F.R.
					 435.1008;
					 42 C.F.R. 435.1009; S.L. 1987, c.
					 758, s. 69;
Eff. September 1, 1984;
Amended Eff. August
					 1, 1990;
Transferred from
					 10A NCAC
					 21B .0308 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0200 - FINANCIAL REQUIREMENTS › Section 23E .0201 - APPLYING FOR ALL BENEFITS AND ANNUITIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Clients
				  shall follow all processes and procedures set forth by any financial
				  institution or agency to obtain any annuities, pensions, retirement and
				  disability benefits to which they are entitled, pursuant to
				  42 CFR
				  435.608, which is incorporated by reference
				  including subsequent amendments and editions and available free of charge at
https://www.ecfr.gov/
, unless they
				  have good cause for not doing so as determined by the county department of
				  social services. For purposes of this Rule, good cause shall be limited to
				  physical or mental incapability to make such effort.
(b) If a client fails to comply with
				  Paragraph (a) and does not show good cause, the client's eligibility benefits
				  shall be terminated.
Authority
					 G.S.
					 108A-54;
					 108A-54.1B;
					 42 C.F.R.
					 435.608;
Eff. September 1,
					 1984;
Amended Eff. August 1, 1990;
Transferred from
					 10A NCAC
					 21B .0309 Eff. May 1, 2012;
Readopted Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0200 - FINANCIAL REQUIREMENTS › Section 23E .0202 - WHAT RESOURCES ARE COUNTED

Current through Register Vol. 39, No. 2, July 15, 2024
(a) North
				  Carolina has contracted with the Social Security Administration under Section
				  1634 of the Social Security Act to provide Medicaid to all SSI recipients.
				  Except as specified in Paragraphs (j) and (k) of this Rule, the resources that
				  are counted for Medicaid eligibility for individuals under any aged, blind, and
				  disabled coverage group shall be determined based on standards and
				  methodologies in Title XVI of the Social Security Act, which is incorporated by
				  reference including all subsequent amendments and editions. This CFR may be
				  accessed at
http://uscode.house.gov/
at no cost.
				  Applicants for and recipients of Medicaid shall use their own resources to meet
				  their needs for living costs and medical care to the extent that such resources
				  can be made available.
(b) The
				  value of resources currently available to any member of a budget unit, as
				  defined in
				  10A NCAC
				  23A .0102, shall be considered in determining
				  financial eligibility. A resource shall be considered available when it is
				  actually available and when the budget unit member has a legal interest in the
				  resource and he or she, or someone acting in his or her behalf, can take any
				  necessary action to make it available.
(c) Resources shall be excluded in
				  determining financial eligibility when the budget unit member with a legal
				  interest in the resources is declared incompetent, unless:
(1) A guardian of the estate, a general
				  guardian, or an interim guardian has been appointed in accordance with the law
				  and is able to act on behalf of his or her ward in North Carolina and in any
				  state where such resources are located; or
(2) A durable power of attorney, valid in
				  North Carolina and in any state where such resource is located, has been
				  granted to a person who is authorized and able to exercise such
				  power.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0200 - FINANCIAL REQUIREMENTS › Section 23E .0203 - COUNTABLE INCOME

Current through Register Vol. 39, No. 2, July 15, 2024
(a) For Family and
				  Children's medically needy cases, income from the following sources shall be
				  counted in the calculation of financial eligibility:
(1) Unearned.
(A) RSDI, as defined in
				  10A NCAC
				  23A .0102;
(B) Veteran's Administration;
(C) Railroad Retirement;
(D) Pensions or retirement
				  benefits;
(E) Worker's
				  Compensation;
(F) Unemployment
				  Insurance Benefits;
(G) All support
				  payments, including child and spousal support;
(H) Contributions;
(I) Dividends or interest from stocks, bonds,
				  and other investments;
(J) Trust
				  fund income;
(K) Private disability
				  or employment compensation;
(L) The
				  portion of educational loans, grants, and scholarships for
				  maintenance;
(M) Work
				  release;
(N) Lump sum
				  payments;
(O) Military
				  allotments;
(P) Brown Lung
				  benefits
(Q) Black Lung
				  benefits
(R) Trade Adjustment
				  benefits;
(S) SSI when the client
				  is in long-term care;
(T) VA Aid
				  and Attendance when the client is in long-term care;
(U) Foster Care Board payments in excess of
				  State maximum rates for M-AF clients who serve as foster parents;
(V) Income allocated from an
				  institutionalized spouse to the client who is the community spouse as stated in
				  42 U.S.C.
				  1396r-5(d);
(W) Income allowed from an institutionalized
				  spouse to the client who is a dependent family member as stated in
				  42 U.S.C.
				  1396r-5(d);
(X) Sheltered Workshop income;
(Y) Loans, if repayment of a loan and not
				  counted in reserve; and
(Z) Income
				  deemed to Family and Children's clients.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0200 - FINANCIAL REQUIREMENTS › Section 23E .0204 - REPEALED - PERSONAL NEEDS ALLOWANCE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 42 C.F.R.
					 435.135;
					 42 C.F.R. 435.731;
					 42 C.F.R.
					 435.732;
					 42 C.F.R. 435.733;
					 42 C.F.R.
					 435.831;
					 42 U.S.C. 1383c(b);
					 42 U.S.C.
					 1383c(d);
Eff.
					 September 1, 1994;
Transferred from
					 10A NCAC
					 21B .0313 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0200 - FINANCIAL REQUIREMENTS › Section 23E .0205 - BUDGET UNIT MEMBERSHIP

Current through Register Vol. 39, No. 2, July 15, 2024
In aged, blind, and disabled cases and medically needy
					 cases, the budget unit shall include individuals who are required by federal
					 and State law to be financially responsible for the support of each other or
					 other dependents. In all other categorically needy cases, the budget unit shall
					 be determined pursuant to 42
					 C.F.R. 435.603, which is incorporated by
					 reference with subsequent amendments and editions and available free of charge
					 at
https://www.ecfr.gov/
.
Authority
					 G.S.
					 108A-54;
					 108A-54.1B;
					 42 C.F.R.
					 435.602;
					 42 C.F.R. 435.603;
					 45 C.F.R.
					 233.51;
Eff. September 1,
					 1984;
Amended Eff. August 1, 1990;
Transferred from
					 10A NCAC
					 21B .0401 Eff. May 1, 2012;
Readopted Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0200 - FINANCIAL REQUIREMENTS › Section 23E .0206 - REPEALED - FINANCIAL RESPONSIBILITY AND DEEMING

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 143-127.1; S.L. 1983, c. 761, s.
					 60(6); S.L. 1983, c. 1034; S.L. 1983, c. 1116;
					 42 C.F.R.
					 435.602;
					 42 C.F.R. 435.712;
					 42 C.F.R.
					 435.734;
					 42 C.F.R. 435.821;
					 42 C.F.R.
					 435.823;
Eff. September 1,
					 1984;
Temporary Amendment Eff. April 1, 1990 for a period of 180
					 days to expire on September 30, 1990;
Amended Eff. January 1, 1995;
					 September 1, 1992; October 1, 1990; August 1, 1990;
Temporary
					 Amendment Eff. January 1, 2003;
Temporary Amendment Expired October
					 12, 2003;
Transferred from
					 10A NCAC
					 21B .0402 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0200 - FINANCIAL REQUIREMENTS › Section 23E .0207 - WHOSE RESOURCES ARE COUNTED

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The value
				  of resources held by the client or by a financially responsible person shall be
				  considered by the county department of social services to be available to the
				  client in determining countable reserve for the budget unit.
(b) Jointly owned resources shall be counted
				  as follows:
(1) The value of resources owned
				  jointly with a person who is not a member of the client's budget unit who is a
				  recipient of another public assistance budget unit shall be divided in parts of
				  equal value between the budget units.
(2) The value of liquid assets and personal
				  property owned jointly with a person who is not a member of the client's budget
				  unit who is also not a client of another public assistance budget unit shall be
				  available to the client if he or she can dispose of the resource without the
				  consent and participation of the joint-owner or the joint-owner consents to
				  and, if necessary, participates in the disposal of the resource.
(3) The client's share of the value of real
				  property owned jointly with a person who is not a member of the client's budget
				  unit who is also not a member of another public assistance budget unit shall be
				  available to the client if he or she can dispose of his or her share of the
				  resource without the consent and participation of the joint-owner or the
				  joint-owner consents to and, if necessary, participates in the disposal of the
				  resource.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0200 - FINANCIAL REQUIREMENTS › Section 23E .0208 - CALCULATING INCOME

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Income that is
				  actually available and the client or someone acting in his or her behalf has
				  the legal authority to make available for support and maintenance shall be
				  counted as income.
(b) Only income
				  actually available or predicted by the county department of social services to
				  be available to the budget unit for the certification period, as defined in
				  10A NCAC
				  23A .0102, for which eligibility is being
				  determined shall be counted as income.
(c) For aged, blind, and disabled cases
				  allowable disregards from income shall be based on Title XVI of the Social
				  Security Act.
(d) Deductions
				  subtracted after allowable disregards shall be:
(1) Incapacitated adult care not to exceed
				  one hundred and seventy-five dollars ($175.00) per adult for Family and
				  Children's medically needy cases.
(2) Child care not to exceed one hundred and
				  seventy-five dollars ($175.00) per child over two years of age or two hundred
				  dollars ($200.00) per child under two years of age for Family and Children's
				  medically needy cases.
(3) A
				  standard deduction of ninety dollars ($90.00) from the total earned income of
				  each budget unit member for Family and Children's medically needy
				  cases.
(4) For aged, blind, and
				  disabled cases allowable deductions from income are based on Title XVI of the
				  Social Security Act.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0200 - FINANCIAL REQUIREMENTS › Section 23E .0209 - DEDUCTIBLE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A deductible
				  shall apply to a client in the following arrangements:
(1) In private living quarters in the
				  community;
(2) In a residential
				  group facility; or
(3) In a
				  long-term care living arrangement when the client:
(A) Has enough income monthly to pay the
				  Medicaid reimbursement rate for 31 days, but does not have enough income to pay
				  the private rate plus all other anticipated medical costs;
(B) Is under a sanction due to a transfer of
				  resources as specified in the Medicaid State Plan;
(C) Does not yet have documented prior
				  approval for Medicaid payment of nursing home care;
(D) Resided in a facility in the facility's
				  month of certification;
(E) Chooses
				  to remain in a decertified facility beyond the last date of Medicaid payment;
				  or
(F) Is under a Veterans
				  Administration (VA) contract for payment of cost of care in the nursing
				  home.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0200 - FINANCIAL REQUIREMENTS › Section 23E .0210 - PATIENT LIABILITY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Patient
				  liability shall apply to clients who live in facilities for skilled nursing,
				  intermediate nursing, intermediate care facility for individuals with an
				  intellectual disability, or other medical institutions.
(b) The client's patient liability for cost
				  of care shall be computed as a monthly amount after deducting the following
				  from his or her total income:
(1) An amount
				  for his or her personal needs as established under the Medicaid State
				  Plan;
(2) Income given to the
				  community spouse to provide him or her a total monthly income from all sources,
				  equal to the "minimum monthly maintenance needs allowance" as defined in
				  42 U.S.C.
				  1396r-5(d)(3)(A);
(3) Income given to family members described
				  in 42 U.S.C.
				  1396r-5(d)(1), to provide
				  each, from all sources of income, a total monthly income equal to:
(A) One-third of the amount established under
				  42 U.S.C.
				  1396r-5(d)(3)(A)(i);
				  or
(B) Where there is no community
				  spouse, an amount for the number of dependents, based on the income level for
				  the corresponding budget unit number, as approved by the NC General Assembly
				  and stated in the Appropriations Act for categorically and medically needy
				  classifications;
(4) The
				  income maintenance level provided by
				  42 U.S.C.
				  1396r-5(d)(3)(A)(i) or State
				  statute for a single individual in a private living arrangement with no spouse
				  or dependents at home, for whom the physician of record has provided a written
				  statement that the required treatment is such that the patient is expected to
				  return home within six months, shall be allowed by the county department of
				  social services; and
(5) An amount
				  for unmet medical needs as determined under Paragraph (f) of this
				  Rule.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS › Section .0200 - FINANCIAL REQUIREMENTS › Section 23E .0211 - ALIEN SPONSOR DEEMING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) For purposes of
				  this Rule, a "sponsored alien" means an alien who is lawfully admitted for
				  permanent residence sponsored by an individual who has signed an Affidavit of
				  Support required by U.S. Citizenship and Immigration Services.
(b) For purposes of this Rule, a "sponsor"
				  means a person who signed an Affidavit of Support on behalf of an alien as a
				  condition of the alien's entry or admission to the United States. The sponsor
				  is financially responsible for the alien, and the sponsor's income shall be
				  counted by the county department of social services in determining an alien's
				  eligibility for medical assistance.
(c) An indigent alien shall be exempt from
				  Paragraph (b) of this Rule if the sum of Subparagraphs (1), (2), and (3) of
				  this Paragraph does not exceed 130 percent of the poverty income guidelines,
				  which are incorporated by reference with subsequent amendments and editions,
				  available free of charge at
https://aspe.hhs.gov/poverty-guidelines
.
(1) The sum of the sponsored alien's own
				  income;
(2) The cash contributions
				  of the sponsor and others; and
(3)
				  The value of any in-kind assistance the sponsor and others provide the
				  alien.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter G - MEDICAID CERTIFICATION, CORRECTION OF ELIGIBILITY AND REDETERMINATION OF ELIGIBILITY › Section .0100 - MEDICAID CERTIFICATION › Section 23G .0101 - REPEALED - CERTIFICATION AND AUTHORIZATION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 42 C.F.R.
					 435.112;
					 42 C.F.R. 435.914;
Eff. September 1, 1984;
Amended Eff. March 1, 1993; August 1,
					 1990;
Transferred from
					 10A NCAC
					 21B .0405 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter G - MEDICAID CERTIFICATION, CORRECTION OF ELIGIBILITY AND REDETERMINATION OF ELIGIBILITY › Section .0200 - CORRECTION OF ERRONEOUS ELIGIBILITY › Section 23G .0201 - GENERAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The county
				  department of social services shall correct prior actions according to Rules
				  .0202 and .0203 in this Section when the county department of social services
				  discovers that prior actions were eligibility errors, as defined by
				  42 CFR
				  431.804, which is incorporated by reference
				  with subsequent amendments and editions, available free of charge at
https://www.ecfr.gov/
, or the
				  recipient's circumstances have changed from the last eligibility
				  determination.
(b) Information
				  leading to corrections may be reported by the recipient, medical providers,
				  State agencies, or any other source with knowledge about the recipient's
				  circumstances that impact eligibility.
Authority
					 G.S.
					 108A-54;
					 108A-54.1B;
					 42 C.F.R.
					 431.246;
					 42 C.F.R. 435.916;
Eff. September 1, 1984;
Amended Eff. June 1, 1990;
Transferred from
					 10A NCAC
					 21A .0601 Eff. May 1, 2012;
Readopted Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter G - MEDICAID CERTIFICATION, CORRECTION OF ELIGIBILITY AND REDETERMINATION OF ELIGIBILITY › Section .0200 - CORRECTION OF ERRONEOUS ELIGIBILITY › Section 23G .0202 - CORRECTIVE ACTIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Corrections in
				  an applicant's or recipient's case shall be made by the county department of
				  social services when:
(1) An individual was
				  discouraged from filing an application, as described in
				  10A NCAC
				  23C .0101;
(2) An appeal or court decision overturns an
				  earlier adverse decision;
(3) The
				  certification periods of financially responsible persons need to be adjusted to
				  coincide with the individual's certification period;
(4) Information received from any source
				  undergoes verification, as defined in
				  10A NCAC
				  23A .0102, by the county department of social
				  services and is found to change the amount of the recipient's deductible,
				  patient liability, authorization period, or otherwise affect the recipient's
				  eligibility status;
(5) Additional
				  medical bills or medical expenses that are verified by the county department of
				  social services establish an earlier Medicaid effective date;
(6) The agency made an administrative error
				  including:
(A) An eligibility error, as
				  defined by 42 CFR
				  431.804, that resulted in assistance being
				  incorrectly terminated or denied;
(B) Failure to act on information received;
				  or
(C) Incorrect determination of
				  the authorization period, Medicaid effective date, or erroneous data
				  entry;
(7) Monitoring of
				  application processing by the Division of Health Benefits (Division), as
				  required by 42 C.F.R.
				  431, Subpart P, shows an application was
				  denied, withdrawn, or a person was discouraged from applying for assistance;
				  or
(8) The Division determines the
				  county failed to follow federal regulations or State rules to authorize
				  eligibility.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter G - MEDICAID CERTIFICATION, CORRECTION OF ELIGIBILITY AND REDETERMINATION OF ELIGIBILITY › Section .0200 - CORRECTION OF ERRONEOUS ELIGIBILITY › Section 23G .0203 - TIME LIMITS FOR CORRECTIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  county department of social services and Division shall make corrections
				  required by Rule .0202 of this Section within 30 days after discovery of the
				  need for action unless good cause exists to extend the time limit.
(b) For the purposes of this Rule, "good
				  cause" is limited to:
(1) The need of the
				  county department of social services to obtain verification, as defined at
				  10A NCAC
				  23A .0102, of other conditions of eligibility
				  before authorizing eligibility;
(2)
				  The county department of social services is unable to locate the applicant or
				  recipient; or
(3) The county
				  department of social services disagrees with a decision requiring corrective
				  action and requests administrative review by the Division. In the case of
				  disagreement under Rule .0202(a)(2) of this Section, administrative review by
				  the Division shall be limited to decisions issued pursuant to
				  G.S.
				  108A-79(j).
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter G - MEDICAID CERTIFICATION, CORRECTION OF ELIGIBILITY AND REDETERMINATION OF ELIGIBILITY › Section .0200 - CORRECTION OF ERRONEOUS ELIGIBILITY › Section 23G .0204 - RESPONSIBILITY FOR ERRORS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  Division shall be financially responsible for costs resulting from the
				  erroneous issuance of benefits and Medicaid claims payments when:
(1) Policy guidance given by the Division or
				  its agents is erroneous and the Division determines that is the sole cause of
				  any erroneous benefits or payments;
(2) A systems failure at the State computer
				  center occurs on the last cutoff date of the month preventing the county DSS
				  from data entering case terminations or adverse actions; or
(3) Any other failure or error the Division
				  determines is attributable solely to the State occurs.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter G - MEDICAID CERTIFICATION, CORRECTION OF ELIGIBILITY AND REDETERMINATION OF ELIGIBILITY › Section .0300 - REDETERMINATION OF ELIGIBILITY AND CHANGE IN SITUATION › Section 23G .0301 - EXPIRED - TIME AND CONTENT

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 42 C.F.R.
					 435.916;
Eff. September 1,
					 1984;
Amended Eff. August 1, 1990;
Transferred from
					 10A NCAC
					 21B .0501 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter G - MEDICAID CERTIFICATION, CORRECTION OF ELIGIBILITY AND REDETERMINATION OF ELIGIBILITY › Section .0300 - REDETERMINATION OF ELIGIBILITY AND CHANGE IN SITUATION › Section 23G .0302 - INTERVIEW

Current through Register Vol. 39, No. 2, July 15, 2024
A redetermination interview shall be conducted with the
					 client or his representative in either the client's place of residence or the
					 county agency office. During the interview, all eligibility requirements,
					 rights and responsibilities and referrals for other agency services are
					 explained.
Authority
					 G.S.
					 108A-54;
					 42 C.F.R.
					 435.916;
Eff. September 1,
					 1984;
Amended Eff. August 1, 1990;
Transferred from
					 10A NCAC
					 21B .0502 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter G - MEDICAID CERTIFICATION, CORRECTION OF ELIGIBILITY AND REDETERMINATION OF ELIGIBILITY › Section .0300 - REDETERMINATION OF ELIGIBILITY AND CHANGE IN SITUATION › Section 23G .0303 - REPEALED - RECOMMENDATION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 42 C.F.R.
					 435.919;
Eff. September 1,
					 1984;
Amended Eff. August 1, 1990;
Transferred from
					 10A NCAC
					 21B .0503 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter G - MEDICAID CERTIFICATION, CORRECTION OF ELIGIBILITY AND REDETERMINATION OF ELIGIBILITY › Section .0300 - REDETERMINATION OF ELIGIBILITY AND CHANGE IN SITUATION › Section 23G .0304 - CHANGE IN SITUATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) For the
				  purposes of this Rule, a "change in situation" includes:
(1) Change of address;
(2) Change in living arrangement;
(3) Adding or deleting a budget unit
				  member;
(4) Increase or decrease in
				  income;
(5) Change in
				  reserve;
(6) Cessation of
				  disability or blindness;
(7) Parent
				  or parents are no longer incapacitated or unemployed;
(8) Change in responsible relative;
				  or
(9) Change in Medicaid program
				  category.