Difference between revisions of "Medicaid/NC"
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===Eligibility - EIS=== | ===Eligibility - EIS=== | ||
There does not appear to be any human-readable manual or official rules for determining eligibility for NC Medicaid; rather, eligibility is determined through entering the potential client's information into a mainframe-based computer program called the [[/EIS|Eligibility Information System]] (EIS). | There does not appear to be any human-readable manual or official rules for determining eligibility for NC Medicaid; rather, eligibility is determined through entering the potential client's information into a mainframe-based computer program called the [[/EIS|Eligibility Information System]] (EIS). | ||
| − | + | ==Notes== | |
| + | When we were applying for Medicaid for a disabled ([[autistic]]) child, our [[case manager]] stated (and insisted, when we questioned the choice) that "Application for Assistance for Adult Medicaid" (DMA-5000[-ia]) was the correct form to use for applying; this turned out to be [[htwiki:Josh/Medicaid|in error]]. The correct form is apparently "Health Check/NC Health Choice for Children Information and Application" (DMA-5063[-ia]). In other words, children ''always'' go through [[NC Health Choice for Children]] -- or perhaps this is only if the parents' income is too high to qualify for regular Medicaid, but the questions on the Adult Medicaid form simply don't make sense when applying on behalf of a disabled child. --[[User:Woozle|Woozle]] 07:32, 11 June 2008 (EDT) | ||
==Links== | ==Links== | ||
===Official=== | ===Official=== | ||
Revision as of 11:32, 11 June 2008
Overview
Medicaid in North Carolina is administered by the NC DHHS DMA (NC Department of Health and Human Services Division of Medical Assistance); the NC DHHS DMA home page appears to also be the focal point for information about both Medicaid in NC and another program called NC Health Choice for Children (NCHC, NC's version of SCHIP) which "provides funding to extend health care coverage to roughly 115,000 children each month whose family income exceeds Medicaid financial eligibility criteria".
Eligibility - EIS
There does not appear to be any human-readable manual or official rules for determining eligibility for NC Medicaid; rather, eligibility is determined through entering the potential client's information into a mainframe-based computer program called the Eligibility Information System (EIS).
Notes
When we were applying for Medicaid for a disabled (autistic) child, our case manager stated (and insisted, when we questioned the choice) that "Application for Assistance for Adult Medicaid" (DMA-5000[-ia]) was the correct form to use for applying; this turned out to be in error. The correct form is apparently "Health Check/NC Health Choice for Children Information and Application" (DMA-5063[-ia]). In other words, children always go through NC Health Choice for Children -- or perhaps this is only if the parents' income is too high to qualify for regular Medicaid, but the questions on the Adult Medicaid form simply don't make sense when applying on behalf of a disabled child. --Woozle 07:32, 11 June 2008 (EDT)
Links
Official
- Information for Medicaid Consumers: links to related pages and documents
- Medicaid Eligibility Summary: different ways to be eligible; includes NCHC eligibility
- How to Apply for North Carolina Medicaid and/or Health Choice for Children
- Adult Medicaid Manual
- Family and Children's Medicaid Manual (does not apply for Aged, Blind and Disabled; those are under Adult, as explained here)
- Adult Medicaid Manual MA-200: DEFINITIONS: extensive list of acronyms and program names