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North Carolina Department of Health and Human Resources AGED, BLIND, AND DISABLED MEDICAID MANUAL MA-2221

COUNTY RESIDENCE

3 07/01/04 (II.) D. Individual With No Permanent Address

A person with no fixed or permanent address is a resident of the county where he states his intent to remain. If the individual is incapable of stating his intent to remain, he is a resident in the county in which he is found.

E. Disputed County of Residence

If the county of residence is disputed, counties should contact their Medicaid Program Representative (MPR) for settlement. The county in which the applicant files the application must proceed to process the application without delay. Upon review of all facts in the case, the MPR(s) will notify the counties of the decision regarding residence.

If the county, which processed the application, is not the county of residence, then that county should immediately contact the Claims Analysis Section of DMA.

Additionally, the county should identify any claims charged in error to their county by reviewing the "Recipient Payment Register." Once claims are identified, notify the Claims Analysis Section of DMA in writing of the charges. Include the recipient's name, individual identification number, and dates of service.

NOTE: This is different from the situation in which a county took a courtesy application and the county of residence refuses to accept the application. For this situation, see MA-2300, Initial Contact.

III. VERIFYING THE COUNTY OF RESIDENCE

A. Accept the client's statement as verification unless there is reason to doubt it.

B. If there is reason to doubt the client's statement, verify using following sources:

1. Home visit/collateral contacts

2. Real and personal property tax records

3. Motor vehicle registration

4. Driver's license, i.e., address

5. Order of custody/placement responsibility by the court.

An individual who recently moved may not have had time to update these items. Evaluate each situation based on its individual circumstances.