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Family and Children's Medicaid Admin. Letters

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DMA ADMINISTRATIVE LETTER NO: 09-14, 2101 (f) North Carolina HEALTH CHOICE CHILDREN

DATE: December 15, 2014

SUBJECT: 2101 (f) NC Health Choice Children

DISTRIBUTION: County Directors

Medicaid Supervisors

Medicaid Eligibility Staff

I. BACKGROUND

Section 2101 (f) of the Affordable Care Act (ACA) requires states to maintain eligibility for children who lose Medicaid eligibility at review due to the elimination of traditional income disregards under the new MAGI-based methodology. These children are transitioned into a NC Health Choice category.

Prior to the use of MAGI-based methodology, total countable income was determined using income disregards such as child and/or adult care and the Standard Work deductions. The use of MAGI-based methodology has eliminated these disregards when determining total countable income. This administrative letter will provide policy and guidance regarding this change.

II. POLICY PRINCIPLES

Children who lose Medicaid eligibility at review due solely to the elimination of income disregards and meet all other eligibility requirements are eligible for NCHC under 2101(f) guidelines. These children are moved to NC Health Choice, MIC-J/A.

III. PROCEDURES

IV. EFFECTIVE DATE AND IMPLEMENTATION

This policy is effective upon receipt.

If you have questions regarding this material, please contact the Operational Support Team (OST) at ost.policy.questions@dhhs.nc.gov.

Robin Gary Cummings, M.D. 

Deputy Secretary for Health Services

Director, Division of Medical Assistance

(This material was researched and written by Ena Lightbourne, Policy Coordinator, Medicaid Eligibility Unit).

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