Family & Children's Medicaid Change Notices

A. The following manual sections contain changes pertaining to FPW.

B. The following information has also been included in the appropriate areas.

CHANGE NOTICE FOR MANUAL, NO. 20-05, MEDICAID FAMILY PLANNING WAIVER CHANGES



DATE: AUGUST 8, 2005

Manual: Family and Children’s Medicaid

Change No: 20-05

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-3265, Medicaid Family Planning Waiver (FPW), is issued in Change Notice 18-05 and should be used in conjunction with this Change Notice.

II. CHANGES TO OTHER MANUAL SECTIONS

A. The following manual sections contain changes pertaining to FPW.

Table of Contents

MA-3110 Definitions

MA-3120 SSI Medicaid

MA-3205 Conducting a Face-to-Face Intake Interview

MA-3207 Receiving Mail-in Applications

MA-3220 Retroactive Coverage

MA-3240 Pregnant Woman Coverage

MA-3255 NC Health Choice

MA-3300 Income

MA-3305 M-AF, M-IC, H-SF Budgeting

MA-3320 Resources

MA-3365 Child Support

MA-3410 Terminations and Deletions

MA-3415 Classification and Evaluation

MA-3420 Re-enrollment

MA-3425 Certification and Authorization

B. The following information has also been included in the appropriate areas.

Breast and Cervical Cancer Medicaid (BCCM) information;

Definitions for Medicare Part D and Low Income Subsidy (LIS);

Medical transportation referral link updated;

Statement regarding compliance with Title VI added to the cover page.

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 redeterminations. 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-3110 Definitions	3-29	3-30
MA-3120 SSI Medicaid	11-14	11-14
MA-3205 Conducting a Face- to-Face Intake Interview	3-19	3-20
MA-3207 Receiving Mail-In Applications	1-2	1-2
MA-3220 Retroactive Coverage	1-2	1-2
MA-3240 Pregnant Woman Coverage	3-6	3-6
MA-3255 NC Health Choice	23-24	23-24
MA-3300 Income	23-24, 85-86	23-24, 85-86
MA-3305 MAF, MIC, HSF Budgeting	3-4	3-4
MA-3320 Resources	1-2	1-2
MA-3365 Child Support	3-12	3-14
MA-3410 Terminations and Deletions	3-6,11-16, Figure 5	3-6, 11-16, Figure 5
MA-3415 Classification and Evaluation	3-4	3-4
MA-3420 Re-Enrollment	1-2	1-2
MA-3425 Certification and Authorization	1-2	1-2

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.)