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NCDHHS Policies and Manuals  >  Health Benefits/NC Medicaid

MA-3515 AUTOMATED INQUIRY AND MATCH PROCEDURES

I. INTRODUCTION
II. POLICY PRINCIPLES
III. MATCHES REQUIRED BY IEVS
IV. OTHER MATCHES
V. FRR RESOURCE TYPES AND DESCRIPTIONS

Document Category: Health Benefits/NC Medicaid

  • MA-3515 AUTOMATED INQUIRY AND MATCH PROCEDURES

    I. INTRODUCTION II. POLICY PRINCIPLES III. MATCHES REQUIRED BY IEVS IV. OTHER MATCHES V. FRR RESOURCE TYPES AND DESCRIPTIONS

  • MA-3520 AUTOMATED SOLQ PROCEDURES

    I. INTRODUCTION II. BENEFIT VERIFICATION III. MANUAL VERIFICATION OF BENEFITS IV. THE SOLQ/TPQY SYSTEM V. DOCUMENTATION

  • MA-3525 MEDICARE ENROLLMENT & BUY-IN

    I. INTRODUCTION II. WHO IS ENTITLED TO MEDICARE? III. POLICY PRINCIPLES IV. OVERVIEW OF MEDICARE COVERAGE V. OVERVIEW OF MEDICARE BUY-IN VI. EFFECTIVE DATE OF BUY-IN COVERAGE VII. RECIPIENT ENROLLMENT IN BUY-IN VIII. COUNTY RESPONSIBILITY TO ASSIST WITH MEDICARE APPLICATION IX. CHARGEBACKS FOR COUNTY ERRORS X. PROCEDURES FOR ALIENS XI. INFORMATIONAL MATERIALS SENT TO COUNTIES…

  • MA-3505 MEDICAID IDENTIFICATION CARD

    I. Introduction II. PROCEDURES

  • 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