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North Carolina Department of Health and Human Services AGED, BLIND, AND DISABLED MEDICAID MANUAL

MA-200

DEFINITIONS

17 REISSUED 03/01/11 – CHANGE NO. 03-11 (III.) Expedited Services --- A procedure whereby the agency provides certain Food Stamp households an opportunity to receive benefits within a shortened time frame.

Fair Market Value --- For real or personal property, the tax value of the resource at the time of the transfer as verified by the county tax office, and for liquid assets, the current market value of the resource at the time of the transfer as defined in the Financial Resources Section.

Family Allowance --- The amount of income protected from an institutionalized spouse's income for a dependent family member.

Father, Alleged --- The man who is said, without proof, to be the father of the child when the courts have not established paternity.

Father, Legal --- (1) The man who is married to the mother at the time of the child's birth; or (2) A man who has been determined by the courts to be the father; or (3) A man who has legally adopted the child; or (4) A man who has signed affidavits legitimating the child.

Father, Natural --- The biological father of the child.

Father, Putative --- Same as Alleged Father.

Final Decision --- A decision by the State hearings office, after all non-judicial appeal rights have been exhausted.

Financially Responsible Person --- A parent or spouse whose income and resources are considered available to the Medicaid a/r as long as the a/r and the parent or spouse live together in the same household. Applies to PLA living arrangement only. (Same as budget unit.) For aliens admitted due to a sponsor, the sponsor and/or the sponsor’s spouse are financially responsible for the alien by deeming their income to the alien a/r following rules in MA-2262, Sponsor Deeming. They are not considered part of the budget unit and do not need to live with the alien.

FL-2 --- Long-Term Services prior approval form which gives a summary of the patient's medical requirements and which reflects the attending physician's recommendation for the level of care needed in an institutional setting. An approved FL-2 is required for any Medicaid recipient in a skilled nursing facility (SNF) or an intermediate care facility (ICF).

Forgery --- Signing someone else's name without proper authorization.

Fraud --- A criminal act in which an a/r or authorized representative makes a false statement and/or withholds information willfully, knowingly, and with deceitful intent and, as a result, obtains or attempts to obtain assistance for which he is not eligible.