143B-1471. Medicaid services for inmates. [Effective January 1, 2023 - see notes]
(a) The Division of Health Services of the Department of Adult Correction and the Department of Health and Human Services shall work together to enable social workers in the Department of Public Safety, Health Services Section, to qualify for and receive federal reimbursement for performing administrative activities related to Medicaid eligibility for inmates. The Department of Adult Correction, Division of Health Services, shall develop policies and procedures to account for the time social workers in the Division of Health Services spend on administrative activities related to Medicaid eligibility for inmates. All social workers in the Division of Health Services who perform administrative activities related to Medicaid eligibility shall be required to receive eligibility determination training provided by the Department of Health and Human Services at least quarterly.
(b) The Department of Adult Correction, Division of Health Services, shall require each social worker performing administrative activities related to Medicaid eligibility for inmates to document the following:
(1) The criteria used by the social worker when deciding to submit an application for Medicaid and when deciding not to submit an application for Medicaid, including any information the social worker believes disqualifies the inmate for Medicaid benefits.
(2) An indication in the social worker s data entry of an inmate s Medicaid eligibility as determined by the inmate s county department of social services.
(3) The number of 24-hour community provider stays prescreened for potential applications, the number of applications submitted, and the number and percentage of applications approved, denied, and withdrawn, which shall be reported to the Health Services Division Director on a monthly basis.
(c) In addition to the requirements in subsection (b) of this section, each Department of Adult Correction, Division of Health Services, social worker performing administrative activities related to Medicaid eligibility for inmates shall submit Medicaid applications and any supporting documents electronically through the ePass portal in the Department of Health and Human Services or through other electronic means, unless paper copies are required by federal law or regulation. (2019-135, s. 3(a); recodified from N.C. Gen. Stat. 143B-707.5 by 2021-180, s. 19C.9(i), (m).)
Structure North Carolina General Statutes
North Carolina General Statutes
Chapter 143B - Executive Organization Act of 1973
Article 16 - Department of Adult Correction. [Effective January 1, 2023].
§ 143B-1440 - Organization[Effective January 1, 2023]
§ 143B-1442 - Powers and duties of the Secretary[Effective January 1, 2023]
§ 143B-1444 - Definitions[Effective January 1, 2023]
§ 143B-1450 - Creation of Division of Prisons; powers[Effective January 1, 2023 see notes]
§ 143B-1451 - Division of Prisons duties[Effective January 1, 2023 see notes]
§ 143B-1452 - Division of Prisons rules and regulations[Effective January 1, 2023 see notes]
§ 143B-1453 - Repair or replacement of personal property[Effective January 1, 2023 see notes]
§ 143B-1456 - Reports to the General Assembly[Effective January 1, 2023 see notes]
§ 143B-1457 - Annual report on safekeepers[Effective January 1, 2023 see notes]
§ 143B-1458 - Security Staffing[Effective January 1, 2023 see notes]
§ 143B-1465 - Creation of Division of Health Services; powers[Effective January 1, 2023]
§ 143B-1470 - Medical costs for inmates[Effective January 1, 2023 see notes]
§ 143B-1471 - Medicaid services for inmates[Effective January 1, 2023 see notes]
§ 143B-1472 - Medication losses related to inmate transfer[Effective January 1, 2023 see notes]
§ 143B-1476 - Reports related to the federal 340B Program[Effective January 1, 2023 see notes]
§ 143B-1481 - Report on probation and parole caseloads[Effective January 1, 2023 see notes]
§ 143B-1483 - Community service program[Effective January 1, 2023 see notes]
§ 143B-1484 - State Reentry Council Collaborative[Effective January 1, 2023 see notes]
§ 143B-1492 - Parole eligibility reports[Effective January 1, 2023 see notes]
§ 143B-1495 - Short title[Effective January 1, 2023 see notes]
§ 143B-1496 - Legislative policy[Effective January 1, 2023 see notes]
§ 143B-1497 - Definitions[Effective January 1, 2023 see notes]
§ 143B-1499 - Eligible population[Effective January 1, 2023 see notes]
§ 143B-1501 - Contract for services[Effective January 1, 2023 see notes]
§ 143B-1503 - Justice Reinvestment Council[Effective January 1, 2023 see notes]