DATE: October 31, 2013
SUBJECT: Residency for Adoptive Children Medicaid
DISTRIBUTION: County Directors of Social Services
Medicaid Eligibility Staff
Effective November 1, 2013
In an effort to remove barriers and ensure continuation of services for adoptive children, the Medicaid County of residence is now the county where the beneficiary resides. This policy change insures beneficiaries receive services without delay and providers receive payment for services rendered.
This change does not impact adoption placement responsibility or payment of subsidy. The county of responsibility remains the same for these functions.
This change also does not apply to children in foster care or in the custody of DSS.
The county of residence for an adopted child is the county in which the child resides. This applies to children whether State Adoption or IV-E.
When an adopted beneficiary in an ongoing case moves from one county to another, Medicaid eligibility must continue without a break in coverage. Upon notice of a physical move from one county to another:
The effective date of the county transfer may be no earlier than the second month following completion and mailing of the transfer letter. At a minimum, the first county will continue assistance for one month following the keying of the transfer.
The effective date of the county transfer is the first day of the month following the submission of the county transfer in NCFAST. Instructions for completing county transfer can be found in FAST Help procedures 1.1, Completing Case Transfers.
If you have any questions regarding this information, please contact a Medicaid Program Representative.
Sandra Terrell, MS, RN
(This material was researched and written by Pam Cooper, Policy Consultant, Medicaid Eligibility Unit).
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.