Service Report: Home Infusion Therapy

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Service Summary Fact Sheets

Details for Service Home Infusion Therapy

Service Name

Home Infusion Therapy

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

Home Infusion Therapy (HIT) services include infusion nursing services, pharmacy services, medical equipment, supplies and training for self-administration of a drug or nutrition therapy. The route of administration may be intravenous, enteral, parenteral or epidural. Antibiotic therapy, pain management and total parenteral nutrition are examples of HIT.

HIT services are available for recipients who live in a private residence or an adult care home.

Home Infusion Therapy services are optional.

Web Site

http://www.ncdhhs.gov/dma/

Year First Initiated

1992

Available State Wide

Yes

Geographic Area Served

Grants Provided

Competitive Bidding

Competitive Bidding Details

Waiting List

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	42 CFR 414, Subpart C
State	Administrative Rules	10A NCAC 22O .0125.

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)	15,085	5,656	9,429
Salary Other (1X)	44	8	36
Operating (2X-5X)	29,349	8,546	20,803
Contracts/Allocations (6X)	7,396	3,846,541	-3,839,145
Reserves (7X)	0	0	0
Transfers (8X)	23,225	5,270	17,954

Total Requirements	75,099	3,866,021	-3,790,923
Receipts-Federal	9,411,007	2,900,326	6,510,681
Receipts- Local receipts	0	0	0
Receipts- Other receipts	15,922	2,976	12,946

Total Receipts	9,426,929	2,903,302	6,523,627
General Fund Appropriations	-9,351,831	962,844	-10,314,675

Match
State	Local	Other
0	0	0

MOE
State	Local
0	0

FTEs

0.00

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