DATE: FEBRUARY 22, 2002
Manual: Families & Children Medicaid
Change No.: 16-02
To: County Directors of Social Services
Effective: April 1, 2002
The purpose of this change notice is to issue the new poverty level income limits for MPW, MIC, Transitional Medicaid and NC Health Choice for Children and to provide implementation instructions for pending applications, new applications, and ongoing cases.
Income limits for MPW, MIC, NC Health Choice for Children and Transitional Medicaid are increased effective April 1, 2002, to reflect the increase in the federal poverty level. EIS edits were updated effective Tuesday, February 26, 2002. You may now enter the new income limits. Cases keyed with a Medicaid effective date of 4/01/02 or later require use of the new income limits in EIS.
If eligible using the new income limits and all other eligibility factors are met, approve the application and authorize effective 4/1/02. Authorize through the end of the 60 day post-partum period. Refer to MA-3310, MPW Budgeting. Evaluate months prior to 4/1/02 for other Medicaid.
Always evaluate for eligibility under any other aid/program category (including MAF-M) prior to evaluating for NC Health Choice for Children.
Note: Use the new income limits in EIS if the Medicaid effective date is 4/01/02 or later.
Note: Administrative applications which are entered to authorize MIC or MPW coverage do not count in the average processing time for application processing standards.
For MAF applications pending with a deductible or for reserve verifications, evaluate eligibility effective 4/1/02 using the new income limits. Evaluate individuals under age 19 for MIC-N and NC Health Choice. Evaluate pregnant women for MPW.
Apply these changes at the next redetermination or change in situation to determine eligibility for MIC-N, NC Health Choice for Children, or MPW if the case is ineligible for MAF or has a deductible.
Apply these changes at the next redetermination or, if the certification period began prior to 4/1/02, the next change in situation. See MA-3305, MAF, MIC, HSF Budgeting, for instructions regarding changes that affect the MIC.
Apply these changes at the next reenrollment.
Use the new 185% of poverty limit for Transitional Medicaid for months beginning April 1, 2002.
If you have any questions, please contact your Medicaid Program Representative.
Nina M. Yeager
[This material was researched and written by Denise Rogers, Policy Consultant, Medicaid Eligibility Unit.]
MA-3255, Attachment 1 - NC Health Choice Income Limits
MA-3305, Family and Children's Income Limits
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.