Section .0300 – Redetermination Of Eligibility And Change In Situation

Link to law: http://reports.oah.state.nc.us/ncac/title 10a - health and human services/chapter 23 - medical assistance administration/subchapter g/10a ncac 23g .0301.html
Published: 2015

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SECTION .0300 – REDETERMINATION of eligibility and change in

situation

 

10A NCAC 23G .0301       TIME AND CONTENT

(a)  A complete redetermination of the client's continuing

eligibility for Medicaid shall be completed by the following schedule:

(1)           At least once every 12 months for

categorically needy aged, blind, and disabled clients.

(2)           At least once every six months for

categorically needy clients under Family and Children-related categories.

(3)           At least once every six months for

medically needy clients.

(b)  Income shall be reverified at the end of six months for

categorically needy aged, blind, and disabled clients in long term care, or who

have a deductible, or who have sources of income not stable in amount or time

of receipt.

(c)  There shall be no redetermination of eligibility for M-PW

cases.

(d)  All eligibility conditions subject to change shall be

reviewed for each client at the redetermination and the results documented in

the case record.

 

History Note:        Authority G.S. 108A-54; 42 C.F.R.

435.916;

Eff. September 1, 1984;

Amended Eff. August 1, 1990;

Transferred from 10A NCAC 21B .0501 Eff. May 1, 2012.