North Carolina General Statutes
Article 2 - Programs of Public Assistance.
§ 108A-29.1 - Drug screening and testing for Work First Program applicants and recipients.

108A-29.1. Drug screening and testing for Work First Program applicants and recipients.
(a) The Department shall require a drug test to screen each applicant for or recipient of Work First Program assistance whom the Department reasonably suspects is engaged in the illegal use of controlled substances. The Department shall provide notice of drug testing to each applicant or recipient. The notice shall advise the applicant or recipient that drug screening, and testing if there is reasonable suspicion that an individual is engaged in the illegal use of controlled substances, will be conducted as a condition of receiving Work First Program assistance, and that the results of the drug tests will remain confidential and will not be released to law enforcement. Dependent children under the age of 18 are exempt from the requirements of this section. The Department shall require the following:
(1) That for two-parent households, both parents comply with the requirements of this section.
(2) That any teen parent who is emancipated pursuant to Article 35 of Chapter 7B of the General Statutes complies with the requirements of this section.
(3) That each applicant or recipient be advised before drug testing that he or she may inform the agent administering the test of any prescription or over-the-counter medication he or she is taking.
(4) That each applicant or recipient being tested signs a written acknowledgement that he or she has received and understood the notice and advice provided under this subsection.
(5) That each applicant or recipient who fails a drug test understands that he or she has the right to take one or more additional tests at his or her own expense.
(6) That each applicant or recipient who fails a drug test be provided with information regarding substance abuse, substance abuse counseling, and substance abuse treatment options, including a list of substance abuse treatment programs that may be available to the individual.
(b) An applicant or recipient who tests positive for controlled substances as a result of a drug test required under this section is ineligible to receive Work First Program assistance for one year from the date of the positive drug test except as provided in subsections (b1) and (b2) of this section. The individual may reapply after one year. However, if the individual has any subsequent positive drug tests, the individual shall be ineligible for benefits for three years from the date of the subsequent positive drug test unless the individual reapplies pursuant to subsection (b1) or (b2) of this section.
(b1) An applicant or recipient deemed ineligible under subsection (b) of this section may reapply for Work First Program assistance after the expiration of 30 days from the date of the positive drug test if the individual can document either the successful completion of or the current satisfactory participation in a substance abuse treatment program offered by a provider under subsection (e) of this section and licensed by the Department. The applicant or recipient who reapplies for Work First Program assistance after successful completion of a substance abuse program shall pass a drug test. The cost of any drug testing and substance abuse program provided under this subsection shall be the responsibility of the individual being tested and receiving treatment. An applicant or recipient who reapplies for Work First Program assistance pursuant to this subsection may reapply one time only.
(b2) An applicant or recipient deemed ineligible under subsection (b) of this section may reapply for Work First Program assistance after the expiration of 30 days from the date of the positive drug test if a qualified professional in substance abuse or a physician certified by the American Society of Addiction Medicine determines a substance abuse program is not appropriate for the individual and that individual has passed a subsequent drug test. The cost of any drug testing provided under this subsection shall be the responsibility of the individual being tested. An applicant or recipient who reapplies for Work First Program assistance pursuant to this subsection may reapply one time only.
(c) The children of any applicant or current recipient shall remain eligible for benefits, and these benefits shall be paid to a protective payee pursuant to G.S. 108A-38.
(d) The Social Services Commission shall adopt rules pertaining to the testing of applicants and recipients under this section. The Social Services Commission shall adopt rules pertaining to the successful completion of, or the satisfactory participation in, a substance abuse treatment program under subsection (b1) of this section, including rules regarding timely reporting of completion of or participation in the substance abuse treatment programs.
(e) Area mental health authorities organized pursuant to Article 4 of Chapter 122C of the General Statutes shall be responsible for administering the provisions of this section.
(f) Repealed by Session Laws 2013-417, s. 4, as amended by Session Laws 2014-115, s. 66 (c), effective March 1, 2015.
(g) For the purposes of this section, reasonable suspicion that an applicant for, or recipient of, Work First Program assistance is engaged in the illegal use of controlled substances may be established only by utilizing the following methods:
(1) A criminal record check conducted under G.S. 114-19.34 that discloses a conviction, arrest, or outstanding warrant relating to illegal controlled substances within the three years prior to the date the criminal record check is conducted.
(2) A determination by a qualified professional in substance abuse or a physician certified by the American Society of Addiction Medicine that an individual is addicted to illegal controlled substances.
(3) A screening tool relating to the abuse of illegal controlled substances that yields a result indicating that the applicant or recipient may be engaged in the illegal use of controlled substances.
(4) Other screening methods, as determined by the Social Services Commission under subsection (d) of this section.
(h) Child only cases shall be exempt from the requirements of this section. (1997-443, s. 12.8; 2009-489, s. 13; 2013-417, s. 4; 2014-115, s. 66(c).)

Structure North Carolina General Statutes

North Carolina General Statutes

Chapter 108A - Social Services

Article 2 - Programs of Public Assistance.

§ 108A-24 - Definitions.

§ 108A-25 - Creation of programs; assumption by federally recognized tribe of programs.

§ 108A-25.1A - Responsibility for errors.

§ 108A-25.2 - Exemption from limitations for individuals convicted of certain drug-related felonies.

§ 108A-25.3 - Garnishment of wages to recoup fraudulent public assistance program payment.

§ 108A-25.4 - Use of payments under the Low-Income Energy Assistance Program and Crisis Intervention Program.

§ 108A-26 - Certain financial assistance and in-kind goods not considered in determining assistance paid under Chapters 108A and 111.

§ 108A-26.1 - Information sharing of outstanding arrest warrant of applicant for or recipient of program assistance.

§ 108A-26.2 - Fleeing felon or parole or probation violator; eligibility for program assistance; federal approval; review by department.

§ 108A-26.5 - NC FAST caseworker training and certification program.

§ 108A-27 - (See editor's note) Authorization and description of Work First Program; Work First Program changes; designation of Electing and Standard Program Counties.

§ 108A-27.01 - Income eligibility and payment level for Work First Family Assistance.

§ 108A-27.1 - Time limitations on assistance.

§ 108A-27.2 - General duties of the Department.

§ 108A-27.3 - Electing Counties - Duties of county boards of commissioners.

§ 108A-27.4 - Electing Counties - County Plan.

§ 108A-27.5 - Electing Counties - Duties of the Department.

§ 108A-27.6 - Standard Program Counties - Duties of county departments of social services and county boards of commissioners.

§ 108A-27.7 - Standard Program County Plan.

§ 108A-27.8 - Standard Program Counties - Duties of Department.

§ 108A-27.9 - State Plan.

§ 108A-27.10 - Duties of the Director of the Budget/Governor.

§ 108A-27.11 - Work First Program funding.

§ 108A-27.12 - Maintenance of effort.

§ 108A-27.13 - Performance standards.

§ 108A-27.14 - Corrective action.

§ 108A-27.15 - Assistance not an entitlement; appeals.

§ 108A-29 - Priority for employment services.

§ 108A-29.1 - Drug screening and testing for Work First Program applicants and recipients.

§ 108A-31 - Application for assistance.

§ 108A-36 - Assistance not assignable; checks payable to decedents.

§ 108A-37 - Personal representative for mismanaged public assistance.

§ 108A-38 - Protective and vendor payments.

§ 108A-39 - Fraudulent misrepresentation.

§ 108A-40 - (Effective until contingency met see note) Authorization of State-County Special Assistance Program.

§ 108A-41 - (Effective until contingency met see note) Eligibility.

§ 108A-42 - Determination of disability.

§ 108A-42.1 - (Effective once contingency met see note) State-County Special Assistance Program payment rates.

§ 108A-43 - Application procedure.

§ 108A-44 - State funds to counties.

§ 108A-45 - Participation.

§ 108A-46.1 - Transfer of assets for purposes of qualifying for State-county Special Assistance.

§ 108A-47 - Limitations on payments.

§ 108A-48 - State Foster Care Benefits Program.

§ 108A-49 - Foster care and adoption assistance payments.

§ 108A-49.1 - Foster care and adoption assistance payment rates.

§ 108A-50 - State benefits for certain adoptive children.

§ 108A-50.1 - Special Needs Adoptions Incentive Fund.

§ 108A-50.2 - Adoption Promotion Fund.

§ 108A-51 - Authorization for Food and Nutrition Services.

§ 108A-51.1 - Prohibition on certain waivers.

§ 108A-52 - Determination of eligibility.

§ 108A-53 - Fraudulent misrepresentation.

§ 108A-53.1 - Illegal possession or use of electronic food and nutrition benefits.

§ 108A-54 - (Effective until contingency met see note) Authorization of Medical Assistance Program; administration.

§ 108A-54.1 - Recodified as G.S108A-66.1 by Session Laws 2013-360, s12H.10(f), effective July 1, 2013.

§ 108A-54.1A - (Effective until contingency met see note) Amendments to Medicaid State Plan and Medicaid Waivers.

§ 108A-54.1B - Adoption of rules; State Plans, including amendments and waivers to State Plans, have effect of rules.

§ 108A-54.2 - (Effective until contingency met see note) Procedures for changing medical policy.

§ 108A-54.3A - Eligibility categories and income thresholds.

§ 108A-54.4 - Income disregard for federal cost-of-living adjustments.

§ 108A-54.5 - Maintenance of waivers for dependents of members of Armed Forces.

§ 108A-55 - Payments.

§ 108A-55.1 - Medicare enrollment required.

§ 108A-55.2 - Collaboration among agencies to ensure Medicaid-related services payments to eligible students with disabilities in public schools.

§ 108A-55.3 - Verification of State residency required for medical assistance.

§ 108A-55.4 - Insurers to provide certain information to Department of Health and Human Services.

§ 108A-55.5 - Eligibility monitoring for medical assistance.

§ 108A-56 - Acceptance of federal grants.

§ 108A-57 - (Effective until contingency met see note) Subrogation rights; withholding of information a misdemeanor.

§ 108A-57.1 - Rules governing transfer of medical assistance benefits between counties.

§ 108A-58.1 - Ineligibility for medical assistance based on transferring assets for less than fair market value.

§ 108A-58.2 - Waiver of transfer of assets penalty due to undue hardship.

§ 108A-59 - Acceptance of medical assistance constitutes assignment to the State of right to third party benefits; recovery procedure.

§ 108A-60 - Protection of patient property.

§ 108A-61.1 - Financial responsibility of a parent for a child under age 21 in a medical institution.

§ 108A-62 - Therapeutic leave for medical assistance patients.

§ 108A-63 - Medical assistance provider fraud.

§ 108A-63.1 - Health care fraud subpoena to produce documents.

§ 108A-64 - Medical assistance recipient fraud.

§ 108A-64.1 - Incentives to counties to recover fraudulent Medicaid expenditures.

§ 108A-65 - Conflict of interest.

§ 108A-66.1 - Medicaid buy-in for workers with disabilities.

§ 108A-67 - Medicare/Qualified Disabled Working Individuals.

§ 108A-68 - Drug Use Review Program; rules.

§ 108A-68.1 - Certain prescription drugs exempt from prior authorization requirements.

§ 108A-68.2 - (Effective until contingency met see note) Beneficiary lock-in program for certain controlled substances.

§ 108A-69 - Employer obligations.

§ 108A-70 - Recoupment of amounts spent on medical care.

§ 108A-70.4 - Long-Term Care Partnership Program.

§ 108A-70.5 - Medicaid Estate Recovery Plan.

§ 108A-70.9A - (Effective until contingency met see note) Definitions; Medicaid recipient appeals.

§ 108A-70.9B - (Effective until contingency met see note) Contested Medicaid cases.

§ 108A-70.9C - Informal review permitted.

§ 108A-70.10 - Short title.

§ 108A-70.11 - Definitions.

§ 108A-70.12 - Liability for certain acts; damages; effect of repayment.

§ 108A-70.13 - False claims procedure.

§ 108A-70.14 - Civil investigative demand.

§ 108A-70.15 - Employee remedies.

§ 108A-70.16 - Uniformity of interpretation.

§ 108A-70.30 - Recodified as Part 33 of Article 7 of Chapter 143B, G.S143B-344.46, by Session Laws 2013-360, s15.22(h), effective July 1, 2013.

§ 108A-70.36 - Applicability.

§ 108A-70.37 - Timely decision standards.

§ 108A-70.38 - Timely processing standards.

§ 108A-70.39 - Average processing time standards.

§ 108A-70.40 - Percentage processed timely standards.

§ 108A-70.41 - Corrective action.

§ 108A-70.42 - Temporary assumption of Medicaid eligibility administration.

§ 108A-70.43 - (Effective until contingency met see note) Reporting.

§ 108A-70.45 - Applicability.

§ 108A-70.46 - Audit of county Medicaid determinations.

§ 108A-70.47 - Medicaid eligibility determination processing accuracy standards.

§ 108A-70.48 - Quality assurance.

§ 108A-70.49 - Corrective action.

§ 108A-70.50 - Temporary assumption of Medicaid eligibility administration.

§ 108A-70.51 - (Effective until contingency met see note) Reporting.