Family and Children's Medicaid MA-3235 CARETAKER RELATIVE ELIGIBILITY

II. ELIGIBILITY REQUIREMENTS

To receive Medicaid as the caretaker relative, the caretaker relative must meet all the following requirements:

A. Be a citizen of the U.S. or be an alien who meets the criteria contained in MA-3332, US Citizenship Requirements and/or MA-3330, Alien Requirements.

B. Be a resident of North Carolina as defined in MA-3335, State Residence.

C. Be living with and caring for a child under age 19 who is a citizen or alien lawfully admitted for permanent residence (LPR).

NOTE: The child does not have to be eligible or receiving Medicaid for the caretaker/relative to be eligible. When the child is not receiving Medicaid or is receiving Medicaid in another aid program/category, the caretaker relative may be the only individual in the MAF assistance unit and budget unit.

D. Not be an inmate of a public institution. See MA-3360, Living Arrangements.

E. Not be in an institution for mental diseases. However, individuals under age 21 or individuals age 65 or older receiving inpatient psychiatric care or individuals ages 21 to 65 in the medical/surgical unit of the state mental hospitals are eligible for assistance. See MA-3360, Living Arrangements.

REISSUED 07/01/10 – CHANGE NO. 08-10

(II.)

F. Live with the child except for a temporary absence (12 months or less). (See MA-3350, Kinship and Living With Requirements for Families and Children, and MA-3305, M-AF, M-IC, H-SF Budgeting)

G. Not have resources in excess of the resource limit. Refer to MA-3320, Resources, for resource requirements.

H. Meet income criteria according to regulations outlined in MA-3300, Income. See MA-3305, M-AF, M-IC, H-SF Budgeting.

I. Not be receiving Medicaid for his own needs from another assistance category, county, or state.

J. Provide verification of all health insurance coverage for himself and assign to the State all rights to third party payments from any such insurance coverage.

K. Furnish his Social Security number or apply for a number if he does not already have one and furnish all Social Security numbers which have been used or under which benefits have been received. Refer to MA-3355, Enumeration Procedures.

L. Cooperate with the local child support enforcement agency in establishing paternity and securing medical and child support for any child who lacks parental care and support due to continued absence of one or both parents for reasons other than death for whom assistance is requested under any aid program/category. Refer to MA-3365, Child Support. (Only applicable to caretakers of children budgeted in private living arrangement.)

If a Work First caretaker relative fails to cooperate with child support, he is ineligible for Medicaid.

NOTE: This does not apply to those women receiving Medicaid under M-PW.

M. Not have transferred real or personal property, including liquid resources, as specified by Transfer of Resources in MA-2240, Transfer of Resources, in the Aged, Blind, and Disabled Medicaid Manual. This only applies to long term care living arrangement cases.