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notice. (2) Provide the caseworker’s name and contact information in the appropriate section of the termination notice.

(3) For recertification, if the enrollment fee has been paid, refund it (do not refund enrollment fees in ongoing cases).

Note: When the recertification cannot be completed so that timely notification can be completed by the end of the current certification period, extend HCWD coverage on a month-by- month basis without a premium until timely notification procedures have been followed.

F. Program Classification

The classification code in NC FAST will be N, G, B or Q. Beneficiaries will be MAB/MAD-N, MAB/MAD-G, MAB/MAD-B or MAB/MAD-Q.

As for any Medicaid case, classification for HCWD is determined by income and resources. The HCWD beneficiary must be evaluated for dual eligibility (MQB-Q/MQB-B) if they are enrolled in Medicare.

Sub-Program Codes:

1. For the Basic Coverage Group, enter B1.

2. For the Medically Improved Coverage Group, enter M5.

E. Certification Period

1. Certification is for a twelve-month period.

2. HCWD applicants currently in other programs:

Where an HCWD applicant has less than twelve months left on an existing certification period, use the existing certification period for HCWD eligibility.

VI. RECERTIFICATION Complete a recertification every twelve months following procedures in MA- 2320, Recertification policy. The eligibility requirements in IV and V above continue to apply.

VII. CHANGE IN CIRCUMSTANCE Docusign Envelope ID: B8C63DC7-7367-4210-853E-B7B004802EE4