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Details for Service Financing
Service Name Financing 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

North Carolina Medicaid pays premiums for Part A and Part B Medicare for some Medicaid recipients who are eligible for both Medicare and Medicaid (also called dually eligible).   The premiums are monthly and assure that Medicare is the primary healthcare payor for these dually eligible people. Part A Medicare covers services such as inpatient care in hospitals, nursing home care, skilled nursing facility care, home health and hospice care.

 

Part B Medicare covers services like doctors' services, outpatient care, home health services, and other medical services. Part B also covers some preventive services.

 

The local department of social services helps eligible people apply for Part A and Part B Medicare premium payments by Medicaid.

Part A and Part B Medicare premium payments are mandatory for states.
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. 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 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 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 Public Law Section 1902 and 1905 of the Social Security Act; State Plan Attachments 4.18-E, 2.2-A, 4.19-B, Section 24, page 1

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