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The caseworker may not deny an application when an applicant who is temporarily absent from NC and claims to be a resident of NC. The applicant must verify residency before they can be considered temporarily absent for Medicaid purposes.

An applicant who is relocating to NC must establish NC state residency by the processing deadline. If NC residence is not established by the processing deadline, the application should be denied. Refer to V. below.

Example: The applicant is pregnant and applying for NC Medicaid. However, is temporarily located in Virginia and intends to return to NC, as a resident of NC. The applicant must verify NC residence to be determined eligible for NC Medicaid.

D. Moved to Another State

When another state has determined that the person is a resident there for purposes of Medicaid, the caseworker may deny or terminate the beneficiary’s Medicaid eligibility. Refer to MA-2252/3410, Change In Circumstance, Terminations, And Reopening policy.

III. EXCEPTIONS TO THE RESIDENCY DOCUMENTATION REQUIREMENT

In the following circumstances, no statement of intent or additional proof is necessary:

A. Incapable

An applicant who is incapable of stating intent to reside in NC is a resident of the state where they are physically located.

B. Institutionalized

An applicant who is institutionalized and capable of stating intent to reside in NC, is a resident of NC if they live in an institution in NC, and states intent to reside in NC.

C. Incarcerated

An individual who is incarcerated by the North Carolina Department of Public Safety, Division of Prisons, is deemed to have the intent to reside in North Carolina. Refer to MA-2510/3360 Living Arrangement policy.

IV. RESIDENCY VERIFICATION

A. Applicant/Beneficiary (A/B) Requesting Assistance

If the a/b requests assistance in obtaining documents needed for residency verification, it is the responsibility of the local agency to assist.