Adult Medicaid Manual MA-2000 NON-SSI ELIGIBILITY REGULATIONS

III. NON-FINANCIAL REQUIREMENTS APPLICABLE TO ADULT MEDICAID COVERAGE GROUPS

A. Be a citizen of the U.S. or a “qualified alien” as defined in MA-2506, US Citizenship Requirements or MA-2504, Alien Requirements.

Non-qualified aliens defined in MA-2504 are potentially eligible to receive Medicaid for emergency medical treatment only, including labor and delivery.

Determine alien status and the scope of Medicaid coverage the alien is permitted to receive as defined in MA-2504, Alien Requirements.

B. Be a resident of North Carolina. Refer to MA-2220, State Residence.

C. Not be receiving Medicaid for his own needs from another aid program/category, county, or state.

D. Not be an inmate of a public institution.

REISSUED 11/01/09 - CHANGE NO. 17-09

(III.)

E. Not be in an institution for mental diseases except individuals age 65 or older or individuals under age 21 receiving inpatient psychiatric services or individuals ages 21 to 65 in the medical/surgical unit of a state mental hospital.

F. Provide verification of all health insurance coverage for eligible assistance unit members and assign to the state all rights to third party payments from such insurance coverage.

G. Furnish his Social Security number, or apply for a number if he does not already have one, and furnish all Social Security numbers which he has used or under which he has received benefits.

H. Cooperate with the local child support enforcement (IV-D) agency in establishing paternity and securing medical and child support for any deprived child for whom the individual is caretaker when assistance is requested for that child. Refer to MA-2375, Procedures for Child Support Enforcement.

I. Apply for all benefits to which he may be entitled.

For questions or clarification on any of the policy contained in these manuals, please contact your local county office.