DATE: MARCH 27, 2001
Subject: Waiting List & Increased Poverty Based Income Limits Letter
Distribution: County Director of Social Services
NCHC/F&C Medicaid Supervisors
NCHC/F&C Medicaid Caseworkers
DMA Administrative Letter Number 16-01 implemented an enrollment freeze in the NC Health Choice for Children program effective January 1, 2001. The purpose of this addendum is to alert counties to a letter being mailed to families with children on the waiting list and to provide instructions to counties on applications received as a result of this letter. These applications will primarily be applications for Medicaid.
On March 30, 2001, a notice (attachment 1) will be mailed to families with children on the waiting list. The notice serves two purposes. One is to provide families with information regarding the waiting list. The other is to inform families about the increase in poverty level based income limits for Medicaid.
Families are reminded that they can continue to enroll in Medicaid and that if the family income is below the new limits or has dropped to below the new limits, their children may be able to get help with medical insurance immediately. Families are also instructed to apply with their local county department of social services if their income has dropped and/or is below the new poverty limits.
Included with the notice is an insert (attachment 2) from Prevent Blindness North Carolina. The insert provides information to families so their children can get help with eye exams and glasses while the children are on the waiting list.
Families with children on the waiting list may apply for Medicaid because they believe their income now falls below the poverty level.
Applications taken as a result of this notice may be mailed in or taken at the local department of social services. These applications are to be entered into EIS following current policy. The applications are not administrative and will be included in the county’s report card.
This policy applies only to applications taken through April 30, 2001. Process applications taken after April 30 following current policy.
If the DMA-5063 includes a request for retroactive Medicaid, process following current policy.
If you have any questions regarding this information, please contact your Medicaid Program Representative.
Paul R. Perruzzi
(This material was researched and written by Renee Boston, Policy Consultant, Medicaid Eligibility Unit.)
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.