Page 3

3

II. A/B’S RESPONSIBILITIES

A. Application for Benefits

The a/b must apply for all countable unearned income (e.g. RSDI, unemployment, retirement benefits, Veteran’s Assistance, etc.) to which they may be entitled, however; this is post eligibility. Refer to MA-2301, Post Eligibility Verification.

B. Reporting Income

Inform the a/b that they must report all income they receive or to which they are entitled. Changes must be reported within ten calendar days of receipt of the changed income. The a/b may have to repay the Medicaid program for services received if they fail to report changes timely which result in ineligibility or a new or increased deductible. Refer to MA-2900, Beneficiary Fraud and Abuse Policy and Procedures.

C. Assistance

The a/b must assist in the determination of eligibility when verification is not included in available electronic data sources, by supplying verification of income or providing the source of the income.

III. DOCUMENTATION

A. Income documentation is required for all cases.

Documentation means the type of verification and a summary of the information obtained has been entered in the appropriate evidence(s) in NC FAST. Documentation must be detailed so that a County, State, or Federal reviewer is able to determine the reasonableness of the determination. For example, when income is verified by the presentation of pay stubs, the gross amount of income on each pay stub, and the frequency of receipt of income is documented in NC FAST evidence(s) or case record.

B. The following must be documented:

1. A/B's statements regarding available income; include negative responses.

2. The source and type of income, and a collateral contact if one is necessary.

3. Efforts to determine employment and exploration of potential unearned income.

4. Copies of correspondence and documents, forms, notification.