10A NCAC 71P .0502        PAYMENT AUTHORIZATION

(a)  State/County Special Assistance Program payments for any recipient shall not be authorized prior to the month of application.

(b)  If SSI approval is pending at the time of application, the State/County Special Assistance Program payment may be authorized retroactive to the month SSI was approved if the recipient was in an Adult Care Facility and had applied for the State/County Special Assistance Program during the month that such assistance was approved.

(c)  If a recipient enters an Adult Care Facility or meets the North Carolina residency requirement for the State/County Special Assistance Program after the first day of the month and all other eligibility criteria are met, the recipient shall be eligible only for a partial payment for that month from the date of entry or the date the recipient meets the residency requirement to the end of the month. The payment shall be computed without considering income.

(d)  If a recipient's level of care is determined to no longer be Adult Care Facility level and a bed is not readily available under the Medicaid Program, the State/County Special Assistance Program payments shall continue until a bed at the appropriate level of care is available for the recipient.

 

History Note:        Authority G.S. 108A-40; 108A-41(b); 143B-153;

Eff. January 1, 1983;

Amended Eff. July 1, 1988;

Temporary Amendment Eff. October 28, 1997;

Amended Eff. June 1, 2016; April 1, 1999;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. May 20, 2017.