Page 8

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

COUNTY RESIDENCE

8 REISSUED 11/01/11 – CHANGE NO. 17-11 (V.F.)

2. The first county is responsible for mailing a returned Medicaid card, with the recipient’s old address, directly to the recipient.

3. If the client does not receive the ID card during the transfer process and it has not been returned to the first county, request a replacement if his name is on the ID card register. Refer to MA-2380, Medicaid Identification Card, for issuing a replacement card.

G. Second County Responsibility

1. If a recipient notifies you of a move from another county, but has no transfer letter, notify that county immediately. Verify the assistance status in that county. Work with the first county in determining if a review is due. Assist the county and the client in completing the review and transfer.

2. Upon receipt of the transfer letter:

a. Establish a case record including all copies of transfer letters.

b. Refer the record to the appropriate caseworker for action.

c. Contact the client immediately.

d. Enter any new information in EIS.

e. Request the client's case from the first county via form DSS-2216, Request for Record.

3. If the recipient's deductible was met during the first county's responsibility:

a. Notify the first county of the dates of eligibility,

b. Provide a listing of medical expenses considered, and

c. Authorize assistance in the second county effective the date of county reassignment.

H. Move to Third County

1. First County Responsibility:

If the recipient moves to a third county prior to the effective date of the county reassignment to the second county:

a. Notify the second county to terminate, and

b. Initiate an administrative reapplication, and