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Document Category: Health Benefits/NC Medicaid

  • MA-3421 MAGI RECERTIFICATION

    DHB ADMINISTRATIVE LETTER NO: 01-23, CHANGES IN INCOME DURING BASE PERIOD FOR MODIFIED ADJUSTED GROSS INCOME (MAGI) APPLICATIONS AND RECERTIFICATIONS DHB ADMINISTRATIVE LETTER NO: 04-23, MEDICAID PROCEDURES USING SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) INCOME DURING THE CONTINUOUS COVERAGE UNWINDING (CCU) PERIOD DHB ADMINISTRATIVE LETTER NO: 05-23, UNITED STATES POSTAL SERVICES (USPS) NATIONAL CHANGE OF ADDRESS…

  • MA-3425 CERTIFICATION AND AUTHORIZATION

    I. POLICY RULES II. LENGTH OF CERTIFICATION PERIODS FOR CASES OTHER THAN MPW AND NEWBORN PROTECTION CASES (For MPW and newborn protection cases, see III., below.) III. LENGTH OF C.P.’S FOR MPW AND NEWBORN CASES IV. SPECIAL SITUATIONS V. PRE-NEED APPLICATIONS VI. REDETERMINATION/REVIEW VII. AUTHORIZATION DMA Administrative Letter NO:04-15, Certification Period

  • MA-3430 NOTICE AND HEARINGS PROCESS

    DHB ADMINISTRATIVE LETTER NO: 01-23, CHANGES IN INCOME DURING BASE PERIOD FOR MODIFIED ADJUSTED GROSS INCOME (MAGI) APPLICATIONS AND RECERTIFICATIONS DHB ADMINISTRATIVE LETTER NO: 02-23, MEDICAID PROCEDURES FOR COVID-19 – CHANGE TO DUALLY ELIGIBLE PROCEDURES DHB ADMINISTRATIVE LETTER NO: 03-22, HEARINGS AND APPEALS – REMOTE HEARINGS DHB ADMINISTRATIVE LETTER NO: 05-23, UNITED STATES POSTAL SERVICES…

  • MA-3435 COMMUNITY CARE OF NORTH CAROLINA (CCNC)/CAROLINA ACCESS (CA)

    I. INTRODUCTION II. TYPES OF EXEMPTIONS III. APPLICATION IV. RECERTIFICATION V. CHANGE IN SITUATION VI. BENEFICIARY COMPLAINTS AND INQUIRIES VII. PROVIDER INQUIRIES

  • MA-3500 CONFIDENTIALITY

    I. INTRODUCTION II. REQUIREMENTS III. DEFINITIONS IV. OWNERSHIP OF RECORDS V. CLIENT ACCESS AND RELEASE OF INFORMATION VI. RELEASE OF INFORMATION TO OTHER SOURCES WITHOUT CONSENT VII. RELEASE OF INFORMATION TO FEDERAL, STATE AND COUNTY LAW ENFORCEMENT IX. CONFIDENTIALITY OF INFORMATION RECEIVED FROM THE SOCIAL SECURITY ADMINISTRATION X. CONFIDENTIALITY OF ELIGIBILITY INFORMATION SYSTEM (EIS) DATA…

  • MA-3365 CHILD SUPPORT

    I. INTRODUCTION II. REQUIREMENTS FOR MAKING REFERRALS TO THE CHILD SUPPORT ENFORCEMENT AGENCY III. CARETAKER RESPONSIBILITIES WHERE COOPERATION IS REQUIRED IV. DETERMINING GOOD CAUSE FOR NOT COOPERATING WITH CHILD SUPPORT ENFORCEMENT V. MAKING A REFERRAL TO IV-D VI. AUTOMATED REFERRAL PROCESS VII. PENALTY FOR FAILURE TO COOPERATE VIII. REPORTING CHANGES TO IV-D

  • MA-3400 FOUR MONTHS TRANSITIONAL MEDICAID

    DHB ADMINISTRATIVE LETTER NO: 01-23, CHANGES IN INCOME DURING BASE PERIOD FOR MODIFIED ADJUSTED GROSS INCOME (MAGI) APPLICATIONS AND RECERTIFICATIONS I. INTRODUCTION II. PROCEDURES DURING FOUR MONTHS TMA III. DOCUMENT

  • MA-3405 TWELVE MONTHS TRANSITIONAL MEDICAID

    DHB ADMINISTRATIVE LETTER NO: 01-23, CHANGES IN INCOME DURING BASE PERIOD FOR MODIFIED ADJUSTED GROSS INCOME (MAGI) APPLICATIONS AND RECERTIFICATIONS I. INTRODUCTION II. POLICY RULES III. GENERAL PROVISIONS IV. TRANSITIONAL MEDICAID V. CHANGE IN SITUATION DURING THE TRANSITIONAL PERIOD VI. OVERVIEW OF NC FAST TRACKING DURING THE TRANSITIONAL PERIOD VII. AUTOMATED TRANSITIONAL BENEFIT REPORTING VIII.…

  • MA-3410 CHANGE IN CIRCUMSTANCE, TERMINATIONS, AND REOPENING

  • MA-3415 CLASSIFICATION AND EVALUATION

    I. INTRODUCTION II. PROCEDURES III. REQUIREMENTS