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Details for Service Refugee
Service Name Refugee Program Name At-Risk Family Health and Safety Benefits
Goal Provide outreach, support and services to individuals and families identified as being at risk of compromised health and safety to eliminate or reduce those risks.
Objective Assure that families at risk of economic challenges receive health and safety benefits to mitigate those risks.
Division Division of Health Benefits
Service Description

The North Carolina Refugee Medical Assistance Program (RMA) provides health care to needy refugees who do not meet qualifications for any other health care program. RMA is a short-term transitional program available for the first eight months a refugee resides in the United States.

 

Local departments of social services (DSS) determine eligibility for RMA. In providing RMA to refugees, providers must provide at least the same services in the same manner and to the same extent as provided under the North Carolina Medicaid program.  Refugee Medical Assistance (RMA/MRF) is the program of last resort. Therefore, DSSs must first assess each individual refugee applicant for Family and Children’s Medicaid, Aged, Blind, and Disabled (Adult) Medicaid and NC Health Choice for Children (NCHC).

Refugee Services are funded entirely by Federal funds.
Web Site http://www.ncdhhs.gov/dma/ Year First Initiated 1975
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. Refugee income eligibility uses 200% of the Federal Poverty Level. Applicants are evaluated for Medicaid or Health Choice eligibility and if they are not eligible, they are considered for Refugee eligibility.
Income Eligibility Type All earned and unearned income with the following guidelines & exceptions: • Count only income from earnings, savings in US bank accounts, and other financial resources acquired while in the USA. • Base eligibility for RMA on the applicant's income and resources on the date of application. Request verification based on most recent pay statements. • Do not average income prospectively over the application processing period in determining income eligibility for RMA. • Do not count Match Grant payments as income. • Do not consider any cash grant received by the applicant under the Department of State or Department of Justice Reception and Placement Program (R&P). • Do not consider a sponsor's income and resources to be accessible to a refugee solely because the person is serving as a sponsor. • Do not consider in-kind services and shelter provided to an applicant by a sponsor or local resettlement agency in determining eligibility for or RMA.
Whose Income Eligibility The income of a husband and wife who have no minor children. The income of a single adult.
Income Disregard Yes
Income Disregard Desc Eligibility for RMA is based on the applicant's income and resources on the date of application. Income received after the date of application is not counted in determining eligibility
Income Verified Yes
Income Verified Method Check stubs, verification from the source of income or from a Refugee Provider agency, bank statements, award letters, clerk of court records or client statement as a last resort.
Income Criteria Income criteria is determined by Federal Regulations.
Income Eligibility Change 1/1/1995
Income Eligibility Method Prior To Change Current methodology established by NC State Refugee Plan in 1995. Prior to 1995 the income eligibility was NC Family & Children’s Medicaid Plan.
Income Eligibility Other 1. Be unable to meet the eligibility requirements for Family and Children's Medicaid, Aged, Blind, and Disabled (Adult) Medicaid, or NCHC, and, 2. Be in the USA 8 months or less, or have eligible status, such as asylee, for 8 months or less; and 3. Have the proper immigration status and documentation or be the dependent child of, and part of the same family unit as, an individual who meet the proper immigration status; and 4. Not be a full-time student in an institution of higher education; and 5. Live in North Carolina with the intent to remain.

Target Population
Age Range Start Age Range End
0 100+

Legal Authority
Authorization Level Authorization Type Citation
Federal Public Law Refugee Act of 1980, PL 106-104

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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