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Details for Service Hospital Services
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Income Eligibility
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Yes
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Income Eligibility Method
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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
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Income Eligibility Type
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Earned income such as: wages, self-employment
Unearned income such as: RSDI, unemployment, VA, retirement, child/spousal support, worker's compensation, etc.
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Whose Income Eligibility
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Individual on the Medicaid case + financially responsible individuals in the home - (Parent for child under age 21 or spouse).
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Income Disregard
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Yes
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Income Disregard Desc
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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
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Income Verified
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Yes
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Income Verified Method
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Electronic match with ESC, SSA, wage stubs, verification from source of income, such as VA, employer, award letter, self-employment records
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Income Criteria
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Federal and State Statutes are used as a base for setting income levels.
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Income Eligibility Change
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1/1/2006
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Income Eligibility Method Prior To Change
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185% MIC children less than 1
133% MIC children 1-5
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Income Eligibility Other
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Age Range Start
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Age Range End
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0
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100+
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Authorization Level
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Authorization Type
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Citation
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State
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Administrative Rules
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10A NCAC 22O .0301; 10A NCAC 22O .0401, .0402
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Federal
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Code of Federal Regulations
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42 CFR 440.10, 440.2
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Budget Information
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State Fiscal Year (SFY) 2021
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As of the month of November 2020
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Authorized Budget Fiscal Year 2021
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SFY 2020-2021 Year To Date Expenditures
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Balance
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Salary and Fringes (1X)
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5,977,654
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2,241,243
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3,736,411
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Salary Other (1X)
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17,289
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3,189
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14,101
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Operating (2X-5X)
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11,630,293
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3,386,695
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8,243,598
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Contracts/Allocations (6X)
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1,856,691,855
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1,006,544,140
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850,147,715
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Reserves (7X)
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0
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0
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0
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Transfers (8X)
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9,203,439
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2,088,540
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7,114,899
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Total Requirements
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1,883,520,530
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1,014,263,807
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869,256,724
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Receipts-Federal
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3,156,354,284
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693,607,843
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2,462,746,441
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Receipts- Local receipts
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0
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0
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0
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Receipts- Other receipts
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794,629,144
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197,949,503
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596,679,641
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Total Receipts
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3,950,983,428
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891,557,346
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3,059,426,082
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General Fund Appropriations
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-2,067,462,897
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122,755,935
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-2,190,218,832
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Match
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State
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Local
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Other
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0
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0
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0
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