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Details for Service Mental Health Hospital - Children
Service Name Mental Health Hospital - Children Program Name Child Out of Home Treatment
Goal Provide services and protection to individuals and families experiencing serious health and safety needs who are not, at least temporarily, able to assist themselves with the goal of helping them to return to independent, community living.
Objective Assure that children being served in out-of-home placements receive assessment and treatment services designed to assist them in their return to home and/or community living.
Division Division of Health Benefits
Service Description

Inpatient behavioral health services provide treatment for people less than 21 years old in a hospital setting 24 hours a day. Supportive counseling, therapeutic interventions, nursing and medical care are provided under the supervision of a psychiatrist or a physician. This service is designed to provide continuous treatment for Medicaid recipients with acute psychiatric or substance abuse problems.  Services may also include longer term residential treatment services.

 

Inpatient behavioral health services are provided both in private psychiatric hospitals, general hospitals and state operated hospitals.  Inpatient services have to be authorized by a Medicaid contractor.

Inpatient behavioral health services are optional.  Medicaid's Early Periodic Screening, Diagnosis and Treatment (EPSDT) program requires that states offer these services, if medically necessary, to children up to age 21.
Web Site http://www.ncdhhs.gov/dma/ Year First Initiated 1972
Available State Wide Yes Geographic Area Served
Grants Provided No Competitive Bidding No
Competitive Bidding Details
Waiting List No Waiting List Start Date
Number Waiting
Waiting List Details

Income Eligibility
Income Eligibility Yes
Income Eligibility Method Eligibility for Medicaid is determined by the county departments of social services (DSS) and the Social Security Administration (SSA) for Supplemental Security Income (SSI) recipients. 200% FPL - MIC children under age 6 185% FPL - MPW 133% FPL - MIC children age 1-5 100% FPL - MIC children 6-18, MAD, MAA, MAB MAF-CN, HSF Categorically Needy: 1 person - $362 2 - $472 3 - $544 4 - $594 5 - $648 MAF, MAD, MAA, MAB Medically Needy: 1 person - $242 2 - $317 3 - $367 4 - $400 5 - $433
Income Eligibility Type Earned income such as: wages, self-employment Unearned income such as: RSDI, unemployment, VA, retirement, child/spousal support, worker's compensation, etc.
Whose Income Eligibility Parental financial responsibility applies for children under age 21 institutionalized 12 months or less. Recipient only for children institutionalized over 12 months.
Income Disregard Yes
Income Disregard Desc Earned Income Disregards: MAF-C: 27-1/2% MAF-N/M, MIC, MPW, HSF: $90 + child/adult care up to $175/200. Unearned income disregards: MAD - $20 general exclusion, 1/3 child support MAF, MIC, MPW, HSF: $50 of child/spousal support
Income Verified Yes
Income Verified Method Electronic match with ESC, SSA, wage stubs, verification from source of income, such as VA, employer, award letter, self-employment records
Income Criteria Federal and State Statutes are used as a base for setting income levels.
Income Eligibility Change 1/1/2006
Income Eligibility Method Prior To Change 185% MIC children less than 1 133% MIC children 1-5
Income Eligibility Other

Target Population
Age Range Start Age Range End
0 20

Legal Authority
Authorization Level Authorization Type Citation
State Administrative Rules 10A NCAC 22O.0112, 10A NCAC 22O.0113
Federal Code of Federal Regulations 42 CFR 440.160; 441 Subpart D; 456 Subpart D; 483 Subpart G

Budget Information
State Fiscal Year (SFY)
As of the month of
Authorized Budget Fiscal Year 2024 SFY 2023-2024 Year To Date Expenditures Balance
Salary and Fringes (1X) 0 0 0
Salary Other (1X) 0 0 0
Operating (2X-5X) 0 0 0
Contracts/Allocations (6X) 0 0 0
Reserves (7X) 0 0 0
Transfers (8X) 0 0 0
Total Requirements 0 0 0
Receipts-Federal 0 0 0
Receipts- Local receipts 0 0 0
Receipts- Other receipts 0 0 0
Total Receipts 0 0 0
General Fund Appropriations 0 0 0
Match
State Local Other
0 0 0
 
MOE
State Local
0 0
 
FTEs
0.00
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