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ADMINISTRATIVE LETTER NO: 01-11, SELF CERTIFICATION FOR LIFE LINE LINK UP

DATE: 01-21-2011

SUBJECT: SELF CERTIFICATION FOR LIFE LINE LINK UP

DISTRIBUTION: County Directors of Social Services,

I. GENERAL INFORMATIONn for Self Certification OF Life Line Link Up

The purpose of this letter is to provide instructions for implementing the Self-Certification process. The Self-Certification process replaces the verification caseworkers are currently responsible for providing. Medicaid manuals are being updated to reflect this change.

II. POLICY PROCEDURES

Provide applicants/recipients information on Lifeline/Link-Up. Instruct households to complete the form and mail it to their telephone service provider if they meet the eligibility requirements for Lifeline/Link-Up. Provide households with the address of their participating telephone service provider. The names and addresses of Lifeline/Link-Up providers are located in the Medicaid Manuals sections MA-3205F6 and MA-2301F6. (These figures will be converted to a Form with the next manual revision.) However, if a household requests assistance with mailing the letter, the county DSS caseworker will forward the letter to the appropriate provider.

Administrative Letter 01-11 Page 2 Jan. 21, 2011

II. Effective date and implementation

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  For questions or clarification on any of the policy contained in these manuals, please contact your local county office.


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