NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 3451

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AID PROGRAM/CATEGORY TRANSFERS TO MEDICAID PROGRAMS

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EIS 3451 – AID PROGRAM/CATEGORY TRANSFERS TO MEDICAID PROGRAMS

I. ACTIONS THAT REQUIRE A SEPARATE DSS-8125

II. FIND THE AID PROGRAM/CATEGORY TRANSFER YOU WISH TO PERFORM IN THE FOLLOWING TABLE OF CONTENTS. THEN, TURN TO THE REFERENCED PAGE NUMBER FOR INSTRUCTIONS.

EIS 3451 – AID PROGRAM/CATEGORY TRANSFERS TO MEDICAID PROGRAMS

REVISED 02/01/11 – CHANGE NO. 03-11

I. ACTIONS THAT REQUIRE A SEPARATE DSS-8125

Do not perform the following actions in conjunction with an aid program/category transfer. Submit a separate DSS-8125 to Data Entry to be keyed after the first action processes.

A. Approving An Add-An-Individual

1. Make every effort to approve the add-an-individual application before transferring the case to another aid program/category. Enter the approval on one DSS-8125 and the transfer on a second DSS-8125. Ensure the transfer is keyed after the approval processes.

2. If the case must be transferred before approving the
add-an-individual, submit the DSS-8125 to transfer the case. Then, refer to EIS 2257, Approving an Add-An-Individual Application.

B. Entering CAP coverage

C. Terminating the Case

Ensure the case termination is keyed after the transfer processes.

II. FIND THE AID PROGRAM/CATEGORY TRANSFER YOU WISH TO PERFORM IN THE FOLLOWING TABLE OF CONTENTS. THEN, TURN TO THE REFERENCED PAGE NUMBER FOR INSTRUCTIONS.

TABLE OF CONTENTS

A. Medicaid to Medicaid

FROM	TO		PAGE
---------------------	---------------------------		-----
MAA, MAD	MAB			3
MQB	MAA, MAD, or MAB			11
MAA, MAB, MAD	MQB			19
MAB	MAD OR MAA			27
MAD	MAA			37
MAA	MAD			42
MAF	MPW			50

REVISED 02/01/11 – CHANGE NO. 03-11

II. A. MEDICAID TO MEDICAID (CONT'D)

MAF	MIC	58
MPW	MAF	66
MIC	MAF	73

B. Money Payment / Sanction to Medicaid

FROM	TO	PAGE
---------------------	-----------------------	------
AAF	MAF(Automatic)	80
AAF	MAF	80
AAF	MIC	88
AAF	MPW	96
RRF	MRF	103
SAD, SAA	MAA, MAB, OR MAD	106

C. Transfers to AAF Transitional

FROM	TO	PAGE
---------------------	-----------------------	------
MAF, AAF	A-AF (Pay type 4 or 5)	110