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

COUNTY RESIDENCE

5 (IV.C.) 3. The contact person in the second county must make a reasonable effort to contact the applicant and/or obtain necessary information/verification.

4. The contact person in the second county must respond to the contact person in the first county within two workdays of the request for assistance.

D. Disputes

In the case of a dispute between counties concerning the responsibility for delay in processing, contact your Medicaid Program Representative (MPR). The MPRs for the respective counties will determine which county is responsible for the delay based on the policy set forth above. The documentation of the contact persons is used to make the determination.

V. COUNTY REASSIGNMENT OF ONGOING CASES

When a recipient in an ongoing case moves from one county to another, his Medicaid eligibility must continue without a break in coverage provided he continues to meet all eligibility criteria.

A. First County Responsibility When Learning of Client’s Move or Plan to Move

1. If the client plans to move to another county, explain to the recipient his responsibility to notify the IMC in the first county when he actually moves.

2. Upon notice of the actual move to another county, inform the a/r, verbally when possible, and by transfer letter, of the agency’s responsibility to continue assistance if eligibility exists.

Also, advise the a/r of his responsibility to contact the first county immediately to report any changes in the household that may affect Medicaid eligibility such as income and/or household composition. The first county must react to all changes reported before the transfer is complete.

B. Case Status

Prior to keying a county transfer, always check the certification period. Also, check to see if there are other Medicaid cases for the household, including the Family and Children’s Medicaid Program. If a review is due, do not complete the transfer until the review is completed.

1. Authorized case

a. If a review is due, the first county must complete the review and authorize for the next certification period, then reassign the case to the second county.

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Official source

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

COUNTY RESIDENCE

5 (IV.C.) 3. The contact person in the second county must make a reasonable effort to contact the applicant and/or obtain necessary information/verification.

4. The contact person in the second county must respond to the contact person in the first county within two workdays of the request for assistance.

D. Disputes

V. COUNTY REASSIGNMENT OF ONGOING CASES

When a recipient in an ongoing case moves from one county to another, his Medicaid eligibility must continue without a break in coverage provided he continues to meet all eligibility criteria.

A. First County Responsibility When Learning of Client’s Move or Plan to Move

1. If the client plans to move to another county, explain to the recipient his responsibility to notify the IMC in the first county when he actually moves.

2. Upon notice of the actual move to another county, inform the a/r, verbally when possible, and by transfer letter, of the agency’s responsibility to continue assistance if eligibility exists.

B. Case Status

1. Authorized case

a. If a review is due, the first county must complete the review and authorize for the next certification period, then reassign the case to the second county.