C. Incorporate the use of forms DSS 5012, Adoption Assistance Eligibility Checklist, DSS 5013, North Carolina Adoption Assistance agreement, and DSS 5095, Child Placement and Payment System Adoption Assistance.
DATE: JULY 28, 2009
Manual: Family and Children’s Medicaid
Change No: 11-09
To: County Directors of Social Services
Effective: September 01, 2009
MA-3230, Eligibility of Individuals Under Age 21, contains policy rules for Special Needs Individuals, and the IAS, HSF, and EFCP Medicaid programs. Working with DSS and various sources, we have identified areas of existing policy that incorrectly instruct the use of certain forms. To ensure individuals are being enrolled properly, the sections have been revised to reflect corrections made to the existing policy and reorganized for a more user friendly format.
MA-3230, Policy Rules V. – X. covering Special Needs individuals, IAS, HSF and EFCP have been revised and reorganized. References to manual sections have been updated and references to obsolete forms were removed.
MA- 3230 VI. Title IV-E Individual Under 18, IAS, has been reorganized and revised to:
MA-3230 X. Expanded Foster Care Program (EFCP) has been reorganized.
Continue to follow Admin letter 09-08 for MA-3230 I.G. Policy will be updated as soon as follow up issues are resolved.
A Quick Reference Chart has been added to MA-3230 as Attachment 1. See appropriate manual sections for eligibility criteria.
This policy is effective September 01, 2009. Apply this policy to any applications or redeterminations taken on or after September 01, 2009.
If you have any questions, please contact your Medicaid Program Representative.
Craigan L. Gray, MD, MBA, JD, Director
This material was researched and written by Grace Lane, Policy Consultant, Medicaid Eligibility Unit.
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.