Document Category: Adult Medicaid

I. Introduction II. INQUIRY PROCEDURES

I. MANAGED CARE II. COMMUNITY CARE OF NORTH CAROLINA (CCNC)/CAROLINA ACCESS (CA) III. TYPES OF EXEMPTIONS IV. APPLICATION V. RE CERTIFICATION VI. CHANGE IN SITUATION VII. BENEFICIARY COMPLAINTS AND INQUIRIES VIII. PROVIDER INQUIRIES IX. LOCAL MANAGEMENT ENTITY/MANAGED CARE ORGANIZATION (LME-MCO) X. APPLICATION XI. RE CERTIFICATION XII. CHANGE IN SITUATION XIII. INCORRECT COUNTY XIV. APPEALS AND…

I. INTRODUCTION II. WHEN TO USE LTC BUDGETING III. EXCEPTIONS TO LTC BUDGETING IV. DETERMINING ELIGIBILITY FOR THE MONTHS PRIOR TO LONG-TERM CARE BUDGETING V. LONG TERM CARE BUDGETING COMPUTATION VI. THE COMMUNITY SPOUSE INCOME ALLOWANCE (SPOUSE IN PLA) VII. THE DEPENDENT FAMILY MEMBER ALLOWANCE VIII. UNMET MEDICAL NEEDS ALLOWANCE IX. REPORTING PATIENT MONTHLY LIABILITY…