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North Carolina Department of Health and Human Services Division of Medical Assistance Medicaid Eligibility Manual AGED, BLIND, AND DISABLED MEDICAID MANUAL MA-2221

COUNTY RESIDENCE

1 MA-2221 COUNTY RESIDENCE REVISED 08/01/09 – CHANGE NO. 12-09

I. POLICY RULES

A. An individual applies for Medicaid in his county of residence.

County residence is not an eligibility requirement. When it is discovered that an individual is a resident of another county, do not deny an application. The county must continue to process and transfer to the correct county following procedures in this section.

B. If a recipient moves to another county, transfer the case to the new county of residence.

II. DETERMINING COUNTY RESIDENCE

A. Non-institutional Living Arrangement

An individual has residence in the county in which he lives. This applies even if the individual owns a home in a different county or state.

B. Institutional Living Arrangement

An individual in a hospital, mental institution, nursing facility (SNF, ICF-MR), Adult Care Home (rest homes/domiciliary care facility/assisted living) or a similar institution/facility:

1. Is a resident of the county in which he lived immediately prior to entering the facility.

2. If an individual moves from another state directly into an institutional living arrangement, the individual is a resident of the county in which the facility is located. If the individual moves to more than one institution/facility, the county of residence is the county where the first institution/facility is located.

NOTE: Residence in an adult care home does not establish county residence, even when the individual was a private paying adult care home resident. Establish his county of residence prior to entering the adult care home.