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A. The following hospitals are removed from the Disproportionate Share Hospital list.
B. The following facilities are removed from the Federally Qualified Health Centers list.
A. Remove: MA-2300, Initial Contact, Figure 5, pages 1 through 6.
B. Insert: MA-2300, Initial Contact, Figure 5, pages 1 through 6 effective 06/01/2010.
DATE: MAY 28, 2010
Manual: Aged, Blind, and Disabled Medicaid
Change No: 08-10
To: County Directors of Social Services
Effective: June 1, 2010
This change notice serves as a reminder that it is a responsibility of the counties to have a written and signed agreement by the director of each involved agency on the requirement of staffing an Income Maintenance Caseworker (IMC) at each mandatory DSH and FQHC outstation location to take MPW and MIC applications. The agreement must be updated yearly.
The list of mandatory Disproportionate Share Hospital (DSH) and Federally Qualified Health Centers (FQHC) has been updated. There are additional DSH and FQHC’s added to the list. In addition, the FQHC’s city locations are added. Please review the lists and make any necessary adjustments regarding outstation locations in your county.
County: Facility Name:
Alexander Frye Regional Medical Center
Avery Charles A. Cannon Jr. Memorial Hospital
Beaufort Pungo District Hospital Corporation
Brunswick J Arthur Dosher Memorial Hospital
Buncombe Thoms Rehabilitation Hospital
Burke Valdese General Hospital
Cabarrus Northeast Medical Center
Carteret Carteret General Hospital
Cherokee Murphy Medical Center
Craven Craven Regional Medical Center
Durham Durham Regional Hospital
Guilford High Point Regional Hospital
Guilford Kindred Hospital Greensboro
Harnett Good Hope Hospital
(II. A.)
The following hospitals are removed from the Disproportionate Share Hospital list.
County: Facility Name:
Haywood Hay wood Regional Medical Center
Henderson Margaret R. Pardee Memorial Hospital
Henderson Park Ridge Hospital
Iredell Iredell Memorial Hospital, Incorporated
Iredell Lake Norman Regional Medical Center
Lee Central Carolina Hospital
Macon Angel Medical Center
Macon Highlands Cashiers Hospital
Mecklenburg Mercy Hospitals Inc.
Mecklenburg Presbyterian Orthopedic Hospital
Mecklenburg Presbyterian Hospital Matthews
Moore First Health Moore Regional Hospital
Pasquotank Albemarle Hospital
Rowan Rowan Regional Medical Center, Inc.
Stokes Stokes-Reynolds Memorial Hospital
Surry Hugh Chatham Memorial Hospital
Transylvania Transylvania Community Hospital
Wake Western Wake Med
Wake Rex Hospital
Watauga Blowing Rock Hospital
Watauga Watauga Medical Center
Wilkes Hugh Chatham Memorial Hospital
County: Facility Name:
Mecklenburg Metrolina Comprehensive Health Center
Orange Piedmont Health Services
Rockingham RMSA Health Center
Warren Vance Warren Comprehensive Health Plan
This policy is effective June 1, 2010. Apply this policy to Medicaid applications taken on or after June 1, 2010 as well as to those presently in process.
If you have any questions, please contact your Medicaid Program Representative.
CLG:skm
(This material was researched and written by Sandi Morrow, Medicaid Policy Consultant, Medicaid Eligibility Unit).
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For questions or clarification on any of the policy contained in these manuals, please contact your local county office. |
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