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Details for Service Lab and X-Ray
Service Name Lab and X-Ray 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

Lab and X-ray services include diagnostic lab tests in independent laboratories and lab tests and portable x-rays and ultrasounds in independent diagnostic testing facilities.  These types of tests are ordered by physicians.  These services do not include lab and x-ray services performed in hospitals and physician offices.

 

Most Medicaid recipients are eligible for lab and x-ray services provided in these settings, but there may be restrictions depending on the person’s type of Medicaid eligibility.

 

Lab and X-ray services are mandatory services.
Web Site http://www.ncdhhs.gov/dma/ Year First Initiated 1970
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 Code of Federal Regulations Lab and X ray - CFR 440.30.
Federal Public Law Laboratory - State Plan Attachment Attachment 3.1-A.1 Page 6a
State Administrative Rules Radiology - 10A NCAC 13B .4801, .6210
Federal Public Law Radiology - State Plan Attachment 3.1-A.1 .0104
State Administrative Rules 10A NCAC 42A .0101; 10A NCAC 42A .0102; NCAC 42A.0101

Budget Information
State Fiscal Year (SFY) 2021
As of the month of November 2020
Authorized Budget Fiscal Year 2021 SFY 2020-2021 Year To Date Expenditures Balance
Salary and Fringes (1X) 100,073 37,521 62,552
Salary Other (1X) 289 53 236
Operating (2X-5X) 194,705 56,697 138,008
Contracts/Allocations (6X) -1,236,996 60,100,498 -61,337,495
Reserves (7X) 0 0 0
Transfers (8X) 154,077 34,965 119,112
Total Requirements -787,852 60,229,734 -61,017,587
Receipts-Federal 112,898,694 44,179,746 68,718,948
Receipts- Local receipts 0 0 0
Receipts- Other receipts 105,684 19,754 85,930
Total Receipts 113,004,378 44,199,500 68,804,878
General Fund Appropriations -113,792,229 16,031,063 -129,823,292
Match
State Local Other
0 0 0
 
MOE
State Local
0 0
 
FTEs
0.00
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