10A NCAC 23E .0106       BLINDNESS

(a)  To qualify for Medicaid under the category of Aid to the Blind, the client shall meet one of the following conditions:

(1)           Was receiving Medicaid on the basis of blindness in December 1973, has been continuously eligible for Medicaid since that date and has been determined by the State disability determination unit to have visual acuity of 20/100 in the better eye with correction or visual field limitation in the better eye of 30 percent or less;

(2)           Has applied for Medicaid since January 1, 1974 and meets the definition of blindness, vocational and medical factors applied under the Supplemental Security Income Program.

(b)  For clients applying for Medicaid since January 1, 1974 blindness shall be determined by one of the following methods:

(1)           Documentary evidence including SDX, BENDEX, or an award letter that social security benefits, supplemental security income or veterans benefits have been awarded on the basis of blindness;

(2)           A written decision from the physician consultant of the Division of Services for the Blind based on review of a medical eye examination report.

(c)  Blindness shall be reverified for clients determined eligible under Paragraph (b) of this Rule at each review of the client's eligibility or when reexamination is recommended by the physician consultant.

(d)  The client shall cease to qualify for Medicaid as blind individual when evidence is received from any of the sources described in Paragraphs (a)(1) or (b) of this Rule that the client no longer meets the definition of blindness.

 

History Note:        Authority G.S. 108A-54; 42 C.F.R. 435.530; 42 C.F.R. 435.531;

Eff. September 1, 1984;

Amended Eff. August 1, 1990;

Transferred from 10A NCAC 21B .0306 Eff. May 1, 2012.