Family and Children's Medicaid MA-3230 ELIGIBILITY OF INDIVIDUALS UNDER Age 21
REISSUED 03/01/14 - CHANGE NO. 01-14
I. Policy RULES – INDIVIDUAL UNDER AGE 21, M-AF
DO NOT APPLY THESE RULES FOR A CHILD ELIGIBLE FOR NEWBORN PROTECTION UNDER M-AF OR M-IC. Refer to IV.
To be eligible, an individual must:
A. Be under 21 years of age.
B. Be a citizen of the United States or meet alienage requirements. See MA-3332, US Citizenship Requirements and/or MA-3330, Alien Requirements.
C. Be a resident of North Carolina as defined in MA-3335, State Residence.
D. Not have resources in excess of the applicable allowance for the budget unit. Refer to MA-3320, Resources.
E. Meets income criteria:
1. For private living budgeting, refer to MA-3305, M-AF, M-IC, H-SF Budgeting.
2. For long-term care budgeting, refer to MA-3325, Long-Term Care Budgeting.
F. Not be receiving Medicaid from another aid/program category, county, or state.
G. Not be an inmate of a public institution with the exception that individuals incarcerated in a NC Department of Public Safety, Division of Prisons (DOP) facility have their eligibility placed in suspension. Refer to MA-3360, Living Arrangement.
H. Provide verification of all health insurance coverage for him and assign to the State all rights to third party payments from such insurance coverage. Refer to MA-3510, Third Party Recovery (TPR).
I. Furnish his Social Security number, or apply for a number if he does not already have one, and furnish all Social Security numbers which he has used or under which he has received benefits. Refer to MA-3355, Enumeration Procedures.
NOTE: Refer to MA-3355, Enumeration Procedures, for enumeration instructions of a child in adoptive placement.
REVISED 03/01/14 - CHANGE NO. 01-14