Service Report: Prescribed Drugs

Home | Help

Help

Service Summary Fact Sheets

Details for Service Prescribed Drugs

Service Name

Prescribed Drugs

Program Name

Families with Identified Health Needs

Goal

Provide services and supports to individuals and families experiencing health and safety needs to assist them in living successfully in the community.

Objective

Assure that families who are experiencing economic jeopardy receive health and safety services to mitigate health and safety risks.

Division

Division of Health Benefits

Service Description

Prescribed drugs include brand, generic and other drugs obtained by Medicaid recipients with a prescription at a dispensing pharmacy. Certain over-the-counter drugs are also provided to eligible Medicaid recipients.

Generally, all people eligible for Medicaid may receive prescribed drugs, but there may be some restrictions depending on the person’s type of Medicaid eligibility.

Prescribed Drugs 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

1970

Available State Wide

Yes

Geographic Area Served

Grants Provided

Competitive Bidding

Competitive Bidding Details

Waiting List

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 150% FPL -HCWD 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
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	Individual on the Medicaid case + financially responsible individuals in the home - (Parent for child under age 21 or spouse).
Income Disregard	Yes
Income Disregard Desc	Earned Income Disregards: MAA, MAD, MAB: $65 + 1/2 remainder MAF-C - 27-1/2% MAF-N/M, MIC, MPW, HSF: $90 + child/adult care up to $175/200 Unearned income disregards: MAA, MAD, MAB: $20 general exclusion, 1/3 child support MAF, MIC, MPW, HSF: $50 of child/spousal support Work expense exclusion for the blind: MAB, HCWD Impairment related work expense for the disabled - MAD, MAB, HCWD
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	100+

Legal Authority

Authorization Level	Authorization Type	Citation
Federal	Code of Federal Regulations	CFR 440.120
Federal	Public Law	SSA, Section 1905(42 USC 1396d); SSA, Section 1927(42 USC 1396r-8
State	Administrative Rules	10A NCAC 22O.0118

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

Page Tools