DATE: JULY 20, 2001
Manual: Aged, Blind and Disabled Medicaid
Change No. 05-02
To: County Directors of Social Services
Effective: August 1, 2001
Through the outreach efforts of states and other organizations, questions regarding paternity and medical support on Medicaid and NCHC applications have been identified as barriers to enrolling otherwise eligible children in these programs. As a result of these findings, the Center for Medicare and Medicaid Services (CMS), formerly the Health Care Financing Administration (HCFA), issued a letter to State Medicaid Directors on December 19, 2000. The letter clarified the requirements of cooperating with Child Support in child only cases.
While the Child Support Enforcement agency can help provide families with financial support and health care, involvement with Child Support should not deter families from seeking medical assistance. Cooperating with Child Support should not become a barrier to enrolling eligible children in either Medicaid or NC Health Choice.
MA-2375 is also updated to add that cooperation of the recipient caretaker with Child Support is required during the first 12 months of Extended Medicaid (Earned Income Disregard) but is not required during the second 12 months of Extended Medicaid (Transitional). This is not a change in policy.
This section has also been reorganized.
The Child Support Referral Question Screen for Applications and Cases will be updated. Please refer to EIS Change Number 02-02 for information regarding these changes. These changes will not be implemented in EIS until August 6. Between August 1 and August 3 caseworkers must use the PF2 key to bypass the referral process for child only cases when the caretaker is not receiving or applying for assistance for herself and has not voluntarily agreed to cooperate with Child Support.
Child only cases referred to Child Support Enforcement via ACTS prior to August 1, 2001 will be identified. Local Child Support offices received instructions to close these cases unless there is an existing order or an indication that the caretaker requested assistance.
August 1, 2001
Insert MA-1000, pages 15-16.
Insert MA-1100, pages 17-18.
Insert MA-2375, pages 1-16.
Insert MA-2400, pages 3-8.
If you have any questions, please contact your Medicaid Program Representative.
Nina M. Yeager
(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.