DATE: NOVEMBER 01, 2007
Manual: Aged, Blind, and Disabled Medicaid
Change No: 22- 07
To: County Directors of Social Services
Effective: November 1, 2007
MA-2250, Income, is being reissued to provide additional information for income sources, provide clarification and examples to existing policy, and to include policy from DMA Administrative Letters 08-05, 10-05 and 05-06.
Additional information includes:
North Carolina Child Care Services Association makes supplemental payments to certain low paid teachers, directors and family child care providers who work with children between the ages of 0-5 years old. This is countable earned income.
Dividends and interest earned on a resource is no longer countable income. This section has been deleted.
Reference to Prouty is deleted as these individuals would have to be 108 years old.
Deleted clothing from items to be counted as in-kind contributions.
Deleted clothing from items to be counted as in-kind income.
Indemnity insurance policies pay a flat rate benefit compensation without regard to the actual charges or expenses incurred. These payments are countable income to the applicant/recipient, including payments made directly to a nursing facility.
Added policy to state that payments from a long term care insurance policy made directly to the applicant/recipient is countable income. If payments are made to a nursing facility, they are considered a third party payment.
This policy is effective November 1, 2007. Please apply this policy to applications taken and redeterminations started on or after November 1, 2007. This policy obsoletes Administrative Letter No. 08-05, dated March 18, 2005, Administrative Letter No.10-05, dated July 18, 2005 and Administrative Letter No. 05-06, dated May 9, 2006.
If you have any questions, please contact your Medicaid Program Representative.
William W. Lawrence Jr., M.D.
Division of Medical Assistance
(This material was researched and written by Linda Faulkner, Policy Consultant, Medicaid Eligibility Unit.)
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.