Page 12

12

c. Do not send a termination notice prior to the day after the payment is due.

C. Payment Status Verification and Procedures 1. When the DHHS Controller receives an HCWD premium payment, a staff member in the controller’s office notifies the Division of Health (DHB) Business Support Unit.

2. After being notified by the controller’s office of the premium payment, DHB staff will contact the caseworker on the same day with the premium payment information.

3. If no communication has been received from DHB on the 13th day after the premium invoice was mailed: a. Contact DHB Business Support by email at, Medicaid.BusinessSupport@dhhs.nc.gov to verify payment status.

b. Document the response from DHB and follow the appropriate steps (below) for approving or denying based on the response.

D. Premium Payment Received Procedures 1. Application process:

When DHB notifies the local agency caseworker that the HCWD premium has been received:

a. Refer to NC FAST Job Aid: Forced Eligibility for Income Support Medical Assistance, Special Assistance & Cash Assistance.

b. Authorize and activate a Medical Forced Eligibility PDC for the appropriate month(s).

c. If the applicant has identified the premium payment as an ongoing payment, apply the payment to the earliest unpaid ongoing month.

d. If the applicant has identified the premium payment as a retroactive payment, apply the payment to the earliest unpaid retroactive month.

e. If the payment is not identified as retroactive or ongoing, apply the payment to the earliest unpaid month.

Docusign Envelope ID: B8C63DC7-7367-4210-853E-B7B004802EE4