DATE: OCTOBER 29, 2003
Manual: Family and Children’s Medicaid
Change No: 08-04
To: County Directors of Social Services
Effective: December 1, 2003
The purpose of this change is to address and re-emphasize the policy regarding an immigrant’s access to benefits and to require that the DSS-8227, Immigrant Access Notice, be given to all applicants applying for Medicaid and NC Health Choice for Children.
Title VI of the Civil Rights Act of 1964 prohibits discrimination on the basis of race, color, or national origin in any program or activity that receives federal funds or other federal financial assistance. Studies have shown that immigrant households with mixed citizenship status are not applying for benefits because of some of the questions asked during the application process. These questions generally concern the disclosure of immigration status or social security numbers for family members who may or may not be seeking assistance for themselves. In hope of alleviating these fears and ensuring compliance with all aspects of Title VI, the Division is taking steps to make certain that our growing ethnically diverse population is served and that they have meaningful access to all programs.
MA 3200, Initial Contact, and MA 3205, Conducting a Face-to-Face Intake Interview, are revised to require a copy of the DSS-8227, Immigrant Access Notice, be given to all applicants who apply or inquire about the receipt of Medicaid and/or NC Health Choice for Children. Be sure to include the notice with all mail-out applications.
This change is effective immediately and obsoletes DMA Administrative Letter No. 19-2003. For all applications taken on or after December 1, 2003, begin reviewing with the applicant the DSS-8227/DSS-8227S, Immigrant Access Notice.
Insert: MA 3205, Conducting a Face-to-Face Intake Interview, pages 9, 10 and 19, dated 12-1-03.
If you have any questions regarding this information, please contact your Medicaid Program Representative.
Gary H. Fuquay
[This material was researched and written by Debbie Pittard, Medicaid Policy Consultant, Medicaid Eligibility Unit.]
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.