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The LME/MCO, individual approved for TCL, and/or a representative designated

in writing may initiate a request for enrollment in the SAIH Program. The

LME/MCOs have been instructed in the Guidance Manual for State/County

Special Assistance In Home and Transitions to Community Living Initiative to

contact the county DSS where their Medicaid originates.

A. NO Face-to-Face Interview Required For Active SA-ACH

cases:

1. For an Active SA case transitioning from an ACH, NO face-to-face

application/interview for SAIH is required. This will be a program

transfer from SA to SAIH using ADD Application in NC FAST.

2. LME/MCO transition coordinators have been instructed to contact the

county of SA/Medicaid eligibility, first directly and then follow up using

the DSS-0034 Appendix E, Supplement 2, to request SAIH as soon

as it is determined that he/she may be appropriate for SAIH.

3. Active SAIH individuals with TCL who move to another county

should not be closed, but the case should be transferred to the

new county. No face-to-face application is required. See Section

VIII below.

4. CASES INVOLVING AN INDIVIDUAL APPROVED FOR TCL

SHOULD NOT BE SUSPENDED OR TERMINATED BEFORE A

DETERMINATION IS MADE ON THE INDIVIDUAL’S ELIGIBILITY

FOR THE SAIH PROGRAM.

B. Face-to-Face Interview Required for Non-Active SA-ACH

Cases:

1. If the individual does not have an active SA case, it will require a face-

to-face interview with the applicant or the applicant’s representative.

2. Follow regular SAIH application procedures to complete the

application process.

3. If the eligible TCL applicant for SAIH has an active Medicaid case,

the Medicaid county origin will transfer the case via NC FAST following

procedures found in Section X.

SA-5250 VII.