Adult Medicaid Change Notices

A. At every Medicaid (Adult and F&C) denial/termination, evaluate for FPW. Terminate or deny when an individual is determined to be sterile or pregnant.

B. The following manual sections contain changes.

CHANGE NOTICE FOR MANUAL NO. 24-05, MEDICAID FAMILY PLANNING WAIVER CHANGES

DATE: AUGUST 8, 2005

Manual: Aged, Blind, and Disabled

Change No: 24-05

To: County Directors of Social Services

Effective: October 1, 2005

I. BACKGROUND

North Carolina has received approval to implement a Medicaid waiver program targeting family planning services only. The Family Planning Waiver is a 5 year demonstration waiver that intends to reduce unintended pregnancies and improve the well being of children and families in North Carolina by offering family planning services. The name of this waiver program is the “Be Smart” program.

The target population for the Family Planning waiver is

• women age 19 through 55 and men age 19 through 60 and

• with income at or below 185% of the federal poverty level.

MA-2170, Medicaid Family Planning Waiver (FPW), is issued in Change Notice 22-05 and should be used in conjunction with this Change Notice and the Family and Children’s Manual Change Notice No. 18-05 and MA-3265, Medicaid Family Planning Waiver.

II. Content of change

A. At every Medicaid (Adult and F&C) denial/termination, evaluate for FPW. Terminate or deny when an individual is determined to be sterile or pregnant.

B. The following manual sections contain changes.

Cover Page

Table of Contents

MA-200, Definitions

MA-1000, SSI Medicaid – Automated Process

MA-2301, Conducting a Face-to-Face Intake Interview

MA-2352, Terminations/Deletions

III. effective date and implementation

This policy is effective October 1, 2005. Apply this policy to applications taken on or after October 1, 2005, and re-determinations started on or after October 1, 2005. Do not apply this policy to any pending applications or re-determinations. Retroactive eligibility can begin no earlier than October 1, 2005.

IV. MAINTENANCE OF MANUAL

Section	Remove Pages	Insert Pages dated 10/1/05
Cover Page	Cover	Cover
Table of Contents	1-3	1-3
MA-200, Definitions	3-29	3 - 30
MA-1000, SSI Medicaid – Automated Process	9,10, 15-18	9,10, 15-19
MA-2301, Conducting a Face-to-Face Intake Interview	3,4	3,4
MA-2352, Terminations/Deletions	5-10	5-10

If you have any questions regarding this information, please contact your Medicaid Program Representative.

L. Allen Dobson, Jr., M.D., Assistant Secretary

for Health Policy and Medical Assistance

(This material was researched and written by Susan Ryan, Project Manager, Medicaid Eligibility Unit.)