A. New manual section MA-2309, LIS Application for Medicaid, implements the procedures mandated by MIPPA. SSA transmits processed LIS application data daily to the State. EIS uses this data to create electronic Medicaid applications and lists them on the counties’ Adjusted Application Management Report. The applications are treated similar to mail in applications. Follow regular application processing procedures in MA-2303, Verification Requirements for Applications and MA-2304, Processing the Application.
DATE: DECEMBER 18, 2009
Manual: Aged, Blind, and Disabled Medicaid
Change No: 02-10
To: County Directors of Social Services
The Medicare Improvements Patient and Providers Act of 2008 (MIPPA) mandated that, effective January 1, 2010, an application for the Medicare Low-Income Subsidy (LIS) program is considered an application for the Medicare Savings Programs (MSP), known in North Carolina as the MQB programs. Since in North Carolina, an application for MQB is considered an application for Medicaid, the county must evaluate the individual for all possible Medicaid programs.
Beginning January 1, 2010, the Social Security Administration (SSA) will transmit daily electronic data for each LIS application when SSA determines, on an initial application, that a person is eligible or not eligible for LIS. DMA will match the data with current Medicaid recipient data and create an electronic North Carolina Medicaid application for individuals who are not Medicaid/MQB recipients or pending applicants. The counties are notified of the electronic application on the regular Adjusted Application Management Report.
EIS creates a Date Screen for each LIS Medicaid application. EIS uses the Date Screen to disregard the processing time between the LIS application date and the date EIS creates the application on the night of receipt from SSA. In the near future, EIS will modify the Date Screen to allow a caseworker to utilize a second exclusion reason, begin date, and end date, in addition to the LIS exclusion reason.
The policy is effective 01/01/2010. Apply the policy to applications received from SSA on or after 01/01/2010.
Insert new manual section, MA-2309, LIS Application for Medicaid, and MA-2309 Figure 1, Cover Letter for LIS Application (DMA-1049).
If you have any questions regarding this information, please contact your Medicaid Program Representative.
Craigan L. Gray, MD, MBA, JD,
(This information was written and researched by John L. Benske, Policy Consultant, Medicaid Eligibility Unit.)
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.