DATE: AUGUST 12, 2002
Manual: Aged, Blind, and Disabled Medicaid MA-2305
Change No: 09-03
To: County Directors of Social Services
Effective: October 1, 2002
On February 5, 2002, Judge Graham C. Mullen, Chief Judge, U.S. District Court for the Western District of North Carolina, dismissed the Alexander Consent Order. The February 1992 version of the Consent Order required payment of penalties or remedial fines if the counties did not process applications according to federal regulations and State rules.
Judge Mullen approved a “Plan to Assure Timely and Quality Services to Applicants for Medicaid, otherwise known as the Exit Plan”. The Centers for Medicare and Medicaid Services and Legal Services had approved this Exit Plan. The State had worked with a group of county representatives in developing this plan.
The persons from the following counties who worked on this plan were:
Brenda Davis of Catawba County
Millie Brown and Elva Quinn of Duplin County
Dave Bradshaw and Dale Moorefield of Forsyth County
Betty Barnes of Johnston County
Jean Biggs and Vicki Lewis of Martin County
Sarah Bradshaw and Alvinia Parker of Sampson County
While this Exit Plan does not change all that the counties might have wanted, it did result in the dismissal of the Consent Order. The Exit Plan reflects the commitment of both the State and the counties to continue to provide accurate benefits to our citizens in a timely manner. Each county in the State deserves recognition for its efforts. It is critical that counties continue to provide accurate benefits in a timely manner.
While Work First (WF) applications are not under the Exit Plan, a Work First application is considered an application for Medicaid. If a person comes to the agency to ask for financial assistance, he must be given the opportunity to apply for Medicaid that same day. This applies even if the county requires the person to go to the Employment Security Commission or to the Child Support Enforcement office before taking a WF application.
Due to changes needed in the Eligibility Information System, all aspects of the Exit Plan could not be implemented until EIS was ready. In DMA Administrative Letter No. 19-02, some policy changes were made without EIS support. They were:
As a result of enhancement to EIS, all of the aspects of the Exit Plan can now be implemented.
Applications dated prior to October 1, 2002, with a disposition date on or after October 1, 2002, will not display on any Report Card. The three existing report cards, Alexander, QI, and NCHC, will run for the last time on October 7, 2002.
Applications dated prior to October 1, 2002, will continue to appear on the Application Management Report and Qualifying Individuals Management Report. These reports will continue to run daily until all pending applications on the reports are disposed. Monitor these reports to ensure all applications are disposed in the appropriate timeframe.
The Actual Time Report Card calculates the actual number of days an application pends until disposition.
This policy change obsoletes the following DMA Administrative Letters
Administrative Letter No.
DMA Administrative Letter No. 12-94
Alexander v. Flaherty “Cure” Provisions For Monitoring
DMA Administrative Letter No. 14-00
Alexander Order And Monitoring
This policy change is effective October 1, 2002.
Apply these changes to any applications taken on or after October 1, 2002. For applications dated prior to October 1, 2002, follow the policies and procedures in effect prior to October 1, 2002.
Remove: MA-5800, Penalties And Fines, and MA-2304, Dispositions and Penalties.
Insert: MA-2305, Evaluating County/DDS Performance.
Online Manual: Entire Section Revised.
If you have any questions regarding this material, please contact your Medicaid Program Representative.
(This policy was researched and written by Vanessa Broadhurst, Policy Consultant, Medicaid Eligibility Unit.)
MA-2305, Fig. 1, County Levels
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.