subchapter 21B eligibility determination

 

SECTION .0100 COVERAGE GROUPS

 

10A NCAC 21B .0101 MANDATORY (TRANSFERRED TO 10A nCAC 23D .0101)

 

10A ncac 21B .0102 OPTIONAL (TRANSFERRED TO 10A NCAC 23D .0102)

 

SECTION .0200 ‑ APPLICATION PROCESS

 

10A NCAC 21B .0201 ACCEPTANCE OF APPLICATION (TRANSFERRED TO 10A NCAC 23C .0101)

 

10A NCAC 21B .0202 face-to-face INTERVIEW (TRANSFERRED TO 10A NCAC 23C .0102)

 

10A NCAC 21B .0203 APPLICATION PROCESSING STANDARDS (TRANSFERRED TO 10A NCAC 23C .0201)

 

10A NCAC 21B .0204 EFFECTIVE DATE OF ASSISTANCE

(a) The first month of Medicaid coverage shall be:

(1) the month of application, or for SSI recipients, the month of application for SSI;

(2) as much as three months prior to the month of application when the client received medical services covered by the program and was eligible during the month or months of medical need; or

(3) if the client applies prior to meeting a non‑financial requirement, no earlier than the calendar month in which all non‑financial requirements are met.

(b) Assistance shall be authorized beginning on the first day of the month except when:

(1) the client's income exceeds the income level and he or she must spenddown the excess income for medical care. The assistance shall be authorized on the day his or her incurred medical care costs equal the amount of the excess income; or

(2) otherwise stated in the Medicaid State Plan.

(c) Medicaid coverage shall end on the last day of the last month of eligibility except for those individuals eligible for emergency conditions only as described in 10A NCAC 23E .0102. The last month of eligibility shall be the month in which the notice of termination period described in 10A NCAC 21A .0301 expires.

 

History Note: Authority G.S. 108A‑54; 108A-54.1B; 42 C.F.R. 435.915;

Eff. September 1, 1984;

Amended Eff. January 1, 1995; October 1, 1991; August 1, 1990;

Temporary Amendment Eff. March 1, 2003;

Amended Eff. August 1, 2004;

Readopted Eff. July 1, 2018.

 

10A NCAC 21B .0205 RECOMMENDATION FOR DISPOSITION (TRANSFERRED TO 10A NCAC 23C .0103)

 

10A NCAC 21B .0206 DISPOSITION (TRANSFERRED TO 10A NCAC 23C .0104)

 

10A NCAC 21B .0207 REFERRALS at a face-to-face interview (TRANSFERRED TO 10A NCAC 23C .0105)

 

10A NCAC 21B .0208 MANDATORY USE OF OUTREACH LOCATIONS (TRANSFERRED TO 10A NCAC 23C .0106)

 

10A NCAC 21B .0209 hours for accepting financial and medical assistance applications (TRANSFERRED TO 10A ncac 23c .0107)

 

SECTION .0300 ‑ CONDITIONS FOR ELIGIBILITY

 

10A NCAC 21B .0301 AGE (TRANSFERRED TO 10A NCAC 23E .0101)

 

10A NCAC 21B .0302 UNITED STATES CITIZEN (TRANSFERRED TO 10A NCAC 23E .0102)

 

10A NCAC 21B .0303 RESIDENCE (TRANSFERRED TO 10A NCAC 23E .0103)

 

10A NCAC 21B .0304 DEPRIVATION (TRANSFERRED TO 10A NCAC 23E .0104)

 

10A NCAC 21B .0305 DISABILITY (TRANSFERRED TO 10A NCAC 23E .0105)

 

10A NCAC 21B .0306 BLINDNESS (TRANSFERRED TO 10A NCAC 23E .0106)

 

10A NCAC 21B .0307 CARETAKER RELATIVE (TRANSFERRED TO 10A nCAC 23E .0107)

 

10a NCAC 21B .0308 INMATE OF PUBLIC INSTITUTION OR PRIVATE PSYCHIATRIC HOSPITAL (TRANSFERRED TO 10A nCAC 23E .0108)

 

10A NCAC 21B .0309 APPLYING FOR ALL BENEFITS AND ANNUITIES (TRANSFERRED TO 10A NCAC 23E .0201)

 

10A NCAC 21B .0310 RESERVE (TRANSFERRED TO 10A NCAC 23E .0202)

 

10A NCAC 21B .0311 TRANSFER OF RESOURCES

 

History Note: Authority G.S. 108A‑54; 108A‑58; P.L. 100‑360; P.L. 100‑485; 42 U.S.C. 1396p(c); 42 C.F.R. 435.121; 42 C.F.R. 435.840; 42 C.F.R. 435.841; 42 C.F.R. 435.845; S.L. 2002-126;

Eff. September 1, 1984;

Amended Eff. December 1, 1991; August 1, 1990;

Temporary Amendment Eff. April 21, 2003; March 1, 2003;

Amended Eff. August 1, 2004;

Repealed Eff. July 1, 2018.

 

10A NCAC 21B .0312 INCOME (TRANSFERRED TO 10A NCAC 23E .0203)

 

10A NCAC 21B .0313 PERSONAL NEEDS ALLOWANCE (TRANSFERRED TO 10A nCAC 23E .0204)

 

SECTION .0400 ‑ BUDGETING PRINCIPALS

 

10A NCAC 21B .0401 BUDGET UNIT MEMBERSHIP (TRANSFERRED TO 10A NCAC 23E .0205)

 

10A NCAC 21B .0402 FINANCIAL RESPONSIBILITY AND DEEMING (TRANSFERRED TO 10A NCAC 23E .0206)

 

10A NCAC 21B .0403 RESERVE (TRANSFERRED TO 10A NCAC 23E .0207)

 

10A NCAC 21B .0404 INCOME (TRANSFERRED TO 10A NCAC 23E .0208)

 

10A NCAC 21B .0405 CERTIFICATION AND AUTHORIZATION (TRANSFERRED TO 10A NCAC 23G .0101)

 

10A NCAC 21B .0406 DEDUCTIBLE (TRANSFERRED TO 10A NCAC 23E .0209)

 

10a NCAC 21B .0407 PATIENT LIABILITY (TRANSFERRED TO 10A NCAC 23E .0210)

 

10A NCAC 21B .0408 CLASSIFICATION (TRANSFERRED TO 10A NCAC 23D .0201)

 

10A NCAC 21B .0409 CHANGE IN SITUATION (TRANSFERRED TO 10A nCAC 23G .0304)

 

10A NCAC 21B .0410 ALIEN SPONSOR DEEMING (TRANSFERRED TO 10A NCAC 23E .0211)

 

SECTION .0500 ‑ REDETERMINATION

 

10A NCAC 21B .0501 TIME AND CONTENT (TRANSFERRED TO 10A NCAC 23G .0301)

 

10A NCAC 21B .0502 INTERVIEW (TRANSFERRED TO 10A NCAC 23G .0302)

 

10a NCAC 21B .0503 RECOMMENDATION (TRANSFERRED TO 10A NCAC 23G .0303)