DATE: JANUARY 11, 2002
Manual: Aged, Blind, and Disabled Medicaid
Change No: 12-02
To: County Directors of Social Services
Effective: February 1, 2002
MA-2165 and DMA Administrative Letter No. 08-02 dated October 18, 2001, provided instructions to dispose manually each QI2 application, record the benefit amount on the Q12 check register, and forward the register to Medicaid Eligibility Unit at DMA by November 21, 2001. Plans were made for the DHHS Controller's Office to issue QI2 checks in December.
This is to advise you of the status of the QI2 checks, remind you to submit the straggler QI2 check register, and to update the manual with the new QI2 amounts for 2002 and with the current QI2 Reenrollment form and Rights and Responsibilities insert.
Administrative Letter 13-01 and Addendum 1 to that administrative letter are now obsolete.
A total of 413 QI2 approvals were forwarded to DMA in December. The DHHS Controller's Office issued individual checks totaling $11, 413.70 on December 11, 2001, to each recipient reported on the QI2 check registers.
Follow instructions in MA-2165 V.D. and DMA Administrative Letter No. 08-02 to dispose all pending QI2 applications for 2001 and complete the straggler check register (DMA-2165, Figure 4). Even if you don’t have any straggler approvals, complete a check register stating "No approvals." E-mail, fax, or mail the straggler check register by January 18, 2002, to:
Division of Medical Assistance
2512 Mail Service Center
Raleigh, NC 27699-2512
The straggler checks will be mailed in mid-February.
III. QI2 ENROLLMENT FOR 2002
QI2s are entitled to reimbursement of a portion of their Medicare Part B premium. For 2002, that portion is $3.91 per month for an annual maximum payment of $46.92.
A QI2 re-enrollment application, an insert containing the recipient's Rights and Responsibilities, and a return envelope are included with each reimbursement check. Follow instructions in MA-2165 IV.E. to process QI2 re-enrollment applications.
A copy of the current QI2 Re-enrollment Application (Figure 5), QI2 Straggler Re-enrollment Application (Figure 9), and the Rights and Responsibilities insert
(Figure 7) are attached. You may photocopy either of the applications if needed.
For re-enrollment and new applications, continue to follow instructions in MA-2165 III. to record daily each QI2 application on a log. Forward a copy of the completed log to DMA by the 10th day of the next month. Mail or fax to Medicaid Eligibility Unit at the address listed in II.B. above.
The effective date for the policy manual is February 1, 2002, but these changes apply to all applications taken on or after January 1, 2002, and to all reenrollments/changes with a QI2 payment effective January 1, 2002 or later.
Remove: MA-2165 pages 1-2 (items I. - II.H.), 7-10 (items IV. – VI.A.3.),
Figures 5 and 7.
Insert: MA-2165 pages 1-2 (items I. - II.H.), 7-10 (items IV. – VI.A.3.), Figure 5,
Figures 7 – 9, effective 2/1/02
If you have any questions, please contact your Medicaid Program Representative.
Nina M. Yeager
[This material was researched and written by Mary Spivey, EIS Program Consultant.]
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.