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Details for Service Case Management
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Service Name
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Case Management
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Program Name
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At-Risk Family Health and Safety Benefits
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Goal
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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.
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Objective
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Assure that families at risk of economic challenges receive health and safety benefits to mitigate those risks.
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Division
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Division of Health Benefits
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Service Description
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Case management services include referral, coordination, assessment, and linkage services provided for people who are at risk for neglect, exploitation or abuse. The services assist people
in gaining access to needed medical, social, educational, and other services and encourages the use of cost-effective medical care by referrals to appropriate providers.
Eligible recipient include adults who are at risk or show evidence of abuse, neglect, or exploitation as defined in G.S. 108A-101 or children who are at risk or show evidence of abuse or neglect as defined in G.S. 7A-517.
County departments of social services provide these services.
Representative activities include: evaluation of need, development of an individual plan of care, coordination of services included in the plan of care and monitoring of services for quality and effectiveness.
| Case management services 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. |
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Web Site
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http://www.ncdhhs.gov/dma/
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Year First Initiated
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1987
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Available State Wide
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Yes
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Geographic Area Served
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Grants Provided
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No
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Competitive Bidding
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No
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Competitive Bidding Details
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Waiting List
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No
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Waiting List Start Date
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Number Waiting
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Waiting List Details
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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
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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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Federal
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Code of Federal Regulations
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42 CFR 456.160, 440.250
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Federal
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Public Law
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SSA Sec 1915 (g)
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State
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Administrative Rules
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10A NCAC 22O .0123
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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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12,938
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4,851
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8,087
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Salary Other (1X)
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37
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7
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31
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Operating (2X-5X)
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25,173
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7,330
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17,843
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Contracts/Allocations (6X)
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6,344
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8
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6,336
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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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19,920
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4,521
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15,400
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Total Requirements
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64,412
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16,717
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47,697
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Receipts-Federal
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107,610
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42,474
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65,136
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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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13,648
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2,551
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11,097
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Total Receipts
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121,258
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45,025
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76,233
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General Fund Appropriations
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-56,844
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-28,202
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-28,643
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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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