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 .0102 - FACE-TO-FACE INTERVIEW

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The county
				  department of social services shall conduct a face-to-face interview with the
				  client or his representative who appears at the agency requesting financial or
				  medical assistance. The client may have any person or persons of his choice
				  participate in the interview. During the interview, the Income Maintenance
				  Caseworker shall explain the application process, the client's rights and
				  responsibilities, the programs of public assistance and the eligibility
				  conditions.
(b) The applicant shall
				  be advised of his right to apply in more than one program category for which he
				  qualifies and the advantages and disadvantages of the choices shall be
				  explained.
(c) The client shall be
				  informed of the following:
(1) The client
				  shall be told what information that he is required to provide, and what third
				  party sources the agency shall contact to check the information. Third party
				  sources are entities, other than the client, that can provide verification of
				  information to determine eligibility.
(2) The client has the right to:
(A) Receive assistance if found
				  eligible;
(B) Be protected against
				  discrimination on the grounds of race, creed, or national origin by Title VI of
				  the Civil Rights Act of 1964. He may appeal such discrimination;
(C) Have any information given to the agency
				  kept in confidence;
(D) Appeal, if
				  he believes the agency's action to deny, change, or terminate assistance is
				  incorrect, or his request is not acted on with reasonable promptness;
(E) Reapply at any time, if found
				  ineligible;
(F) Withdraw from the
				  program at any time;
(G) Request
				  the agency's help in obtaining third party information that he is responsible
				  to provide;
(H) Be informed of all
				  information he must provide and all alternative sources for obtaining the
				  information.
(3) The
				  client shall:
(A) Provide the county
				  department, state and federal officials, the necessary sources from which to
				  locate and obtain information needed to determine eligibility;
(B) Report to the county department of social
				  services any change in situation that may affect eligibility within 10 calendar
				  days after it happens. The Income Maintenance Caseworker shall explain the
				  meaning of fraud and shall inform the applicant that he may be suspected of
				  fraud if he fails to report a change in situation and that in such situations,
				  he may have to repay assistance received in error and that he may also be tried
				  by the courts for fraud;
(C) Inform
				  the county department of social services of any persons or organization against
				  whom he has a right to recover medical expenses. When he accepts medical
				  assistance, the applicant shall assign his rights to third party insurance
				  benefits to the state. The Income Maintenance Caseworker shall inform the
				  applicant that it is a misdemeanor to fail to disclose the identity of any
				  person or organization against whom he has a right to recover medical
				  expenses;
(D) Immediately report to
				  the county department the receipt of an I.D. card that he knows to be
				  erroneous. If he does not report such and uses the I.D. card, he shall repay
				  any medical expenses paid in error.