What Is Family Planning Medicaid Nc


There Are Two Points In Time You Can Call Upon Our Services:

Will I Lose My House if I Need Medicaid? | Cary NC | Carolina Family Estate Planning
  • Pre-planning: Here we can effectively protect your assets and create a plan that best suits your needs and legacy desires or
  • Crisis planning: When you are in or about to enter a Skilled Nursing Community.
  • We can help in both cases, but at times, crisis planning limits the options we have. We are a firm based on strong morals and ethics, helping you help those you love.

    North Carolina Medicaid Income Limit Charts

    The North Carolina Medicaid eligibility income limit charts are divided by groups.

    For example, the first chart is focused on income limits for children who qualify for Medicaid.

    Similarly, the second chart below focuses on the Medicaid income limits for adults in North Carolina who qualify for Medicaid.

    North Carolina Medicaid Income Limit for Children

    Below is the income limit for children by age category. Find the age category your child falls into and you will see the income limit by household size.

    North Carolina Medicaid Income Limit Children
    Children Medicaid Ages 0-1

    How to Read the North Carolina Medicaid Income Limits Charts Above

    You cannot have an income higher than the Federal Poverty Level percentage described for your group to be eligible for Medicaid.

    Similarly, when you identify the income group that applies to you, the income limit you see refers to the maximum level of income you can earn to qualify for benefits.

    For example, if you are pregnant, to qualify for Medicaid, you cannot have an income higher than 196% of the Federal Poverty Level which for a family of two is $34,143 as shown in the chart above.

    What Is Medicaid Planning

    You need Medicaid planning if you may need long-term care in the future and do not have coverage for this type of care. Assisted living and nursing home expenses run high, as much as $8000 per month for a single room and board. If you have assets, they will pay for your long-term care unless you make a plan at least five years before you need care.

    Medicaid planning is a way of using legal tools to maximize the assets and income you make now so that you can qualify for Medicaid in the future while retaining your assets.

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    Medicaid Covers Family Planning Services

    Since 1972, states have been required to provide family planning services in their Medicaid programs. Now, under the Affordable Care Act, states have the option to offer such services , under state plan authority, to individuals who would not otherwise be eligible for Medicaid. This has greatly expanded the number of people who can benefit from these fundamental services.

    All state Medicaid programs must offer some family planning benefits, and most provide coverage for prescription contraceptives, as well as health education and promotion, testing and treatment for sexually transmitted infections , and preconception services such as screening for obesity, smoking, and mental illness. In 2013, women with Medicaid coverage were more likely than women with private insurance to report they had spoken with a provider about contraception or birth control, sexual history or relationships, HIV and domestic violence.

    Nc Medicaid Family Planning Waiver

    New Medicaid Plans

    Free reproductive health services for men and women in North Carolina.

    The NC Medicaid Family Planning Waiver makes free family planning services available to eligible men and women in North Carolina. The program began in October, 2005 to help reduce unplanned pregnancies and improve the well-being of children and families in North Carolina.

    This is a program that is available to North Carolina residents who do not qualify for other Medicaid benefits. The Medicaid Family Planning Program is limited to services related to family planning such as:

    • annual family planning exams
    • most types of birth control
    • testing for pregnancy
    • testing for sexually transmitted infections
    • assistance in planning when to have a baby
    • voluntary sterilization

    Also Check: Florida Medicaid Gold Card Providers

    Information Covered During Clinic Visits

    • How the male and female reproductive systems work.
    • How to do your monthly breast self examination.
    • How all methods of birth control work to prevent pregnancy.
    • Correct use of these methods.
    • The risks, benefits, and side effects of each method.
    • Additional information about the method you use.
    • Information about abstinence, natural family planning and sterilization.
    • How to plan a healthy pregnancy.
    • The risks, symptoms, and complications of sexually transmitted infections, including HIV/AIDS.

    In order to better serve you, we have begun a new appointment system. This system will allow you to book an appointment for the same day you call or the next day. As with any new system, we are working out the kinks. Please be patient with us as we begin to provide this new service. Whether you wish to be seen for your appointment in Greensboro or High Point, just call one number: 336-641-3245. This line will accommodate both English and Spanish speakers.

    Family Planning Medicaid Or Be Smart Medicaid

    The Family Planning Medicaid Program or Be Smart program is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina. Family planning, reproductive health and contraceptive services are provided to eligible men and women, whose income is at or below 195% of the federal poverty level, with no age restrictions.

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    Special Bulletin Covid #: Nc Medicaid Optional Covid

    NOTE: This article was updated on:

    NC Medicaid is reimbursing COVID-19 testing costs for individuals without insurance who enroll in the NC Medicaid Optional COVID-19 Testing program. This option was made available to all states through Section 6004 of the Families First Coronavirus Response Act . Enrolled MCV beneficiaries will also qualify for coverage of COVID-19 tests retroactive to three months prior provided they were uninsured at the time of the test.

    A fact sheet that highlights the MCV program is available at .

    Will I Be Able To Qualify Excluded Assets:

    Medicaid Qualifications | Cary NC | Carolina Family Estate Planning
    • The Home, with an approximate equity of less than $536,000. The home must be the principal place of residence. The nursing home resident may be required to show some intent to return home even if this never actually takes place.
    • Household and Personal Belongings such as furniture, appliances, jewelry, collectables and clothing.
    • One Car, used to transport applicant or community spouse.
    • Burial Plot for you and your spouse or an irrevocable funeral policy.
    • Cash Value of Life Insurance policies as long as the face value of all of policies added together does not exceed $10,000. If it does exceed $10,000 in total face amount, then the cash value in these policies is countable.
    • A certain amount that can be maintained by the community spouse, or the one remaining at home.

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    If I Give Away Just $14000 To All My Kids And Grandkids Will Medicaid Penalize The Gift

    In a word..YES. There is a difference between the annual gift tax exclusion for IRS purposes and what is permitted under Medicaid rules. Unless some other exception applies, every gift counts in computing Medicaid eligibility, no matter the value of the gift. Non-cash gifts of items like automobiles or tangible property count as well. Example: If you gave away $100,000.00 divided by $6,300.00 the period of ineligibility for Medicaid would be nearly 16 months.

    Why Use An Elder Law Attorney

    Both the qualifying process and the actual application are complex and a simple clerical error or misunderstanding a point of Medicaid law can cause extensive delays or denial. In addition, your core legal documents should be reviewed. Your will, powers of attorney and advanced directives should match your new situation. The earlier you plan, the more options are available. Call us today!

    Additional planning completed for the community spouse and care to preserve your assets for your family. Proper planning needs to be completed to help protect assets from Medicaid Estate Recovery.

    Read Also: Is Everyone Eligible For Medicaid

    Who Can Get Medicaid In North Carolina

    You should apply for Medicaid if your income is low and you match one of the descriptions below:

    • You think you are pregnant
    • The parent or caretaker of a child and/or teenager under the age of 19.
    • You are a child or teenager age 18 or under.
    • An adult age 65 or older.
    • You are legally blind.
    • Living with a disability or disabled.
    • You are in need of nursing home care.

    Do I Have To Wait 5 Years After Giving My Assets For Medicaid Not To Count Them

    MEPS State Specific Showcards

    Medicaid does look back 5 years from the date of application for transfer of assets with some exceptions. Medicaid typically assumes that the assets given away in that five years were gifted to qualify for Medicaid benefits and will apply a penalty. Medicaid will take the amount of the gift and divide it by $6,300.00 to obtain the number of months of ineligibility for long-term Medicaid.

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    North Carolina Medicaid Expansion Update

    North Carolina is one of 12 states that has not yet expanded Medicaid under the Affordable Care Act .

    If Medicaid is expanded in North Carolina, it is estimated that 624,000 residents would become newly eligible for coverage.

    Governor Cooper has long pushed for Medicaid expansion, but GOP lawmakers oppose expansion.

    North Carolinas Medicaid program is transitioning to a managed care model in 2021 after several delays.

    North Carolina Medicaid Income Limits Summary

    We hope this post on North Carolina Medicaid Income Limits was helpful to you.

    If you have any questions about Medicaid in the state of North Carolina, you can ask us in the comments section below.

    Help us spread the word! If you found this post on North Carolina Medicaid Income Limits helpful, help us spread the word by sharing it using the Share this button below.

    Be sure to check out our other articles about Medicaid.

    Also Check: What Is Medicaid Buy In Program

    How Many People Are On Medicaid

    According to the Centers for Medicare & Medicaid Services, as of November 2020, here are the number of people enrolled in Medicaid and Chip in the entire United States:

    • 78,521,263 individuals were enrolled in Medicaid and CHIP
    • 72,204,587 individuals were enrolled in Medicaid
    • 6,695,834 individuals were enrolled in CHIP

    Family Planning Medicaid Waiver Evaluation Materials

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    Collection of materials used by Medicaid FP Waiver Evaluators Workgroup. Evaluators of FP waivers in DHHS Region IV first met in September 2005 at the RNDMU Workshop in Asheville, NC. They continue to meet monthly in conference calls to discuss issues in evaluating waiver demonstration and share issues and solutions. Over time, state staff assigned to the Medicaid family planning waiver joined the evaluators to discuss issues of common interest. In addition, evaluators and staff from states beyond Region IV have become an integral part of the Workgroup, as have other partners from Guttmacher Institute and CMS.

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    North Carolina Medicaid Income Limit

    The North Carolina Medicaid Income Limit is calculated as a percentage of the Federal Poverty Line.

    To qualify, you must meet the North Carolina Medicaid Income limits listed below.

    Here is the Federal Poverty Level for 2021.

    2021 Federal Poverty Levels for the 48 Contiguous States & D.C.
    Household Size

    Additionally, to be eligible for Medicaid, you cannot make more than the income guidelines outlined below:

    • Children up to age 1 with family income up to 210 percent of FPL
    • Any child age 1-5 with a family income up to 210 percent of FPL
    • Children ages 6- 18 with family income up to 133 percent of FPL
    • CHIP for children with family income up to 211 percent of FPL
    • Pregnant women with family income up to 196 percent of FPL
    • Parents of minor children with family income up to 41 percent of FPL
    • Individuals who are elderly, blind, and disabled with family income up to 100% of the FPL

    If You Dont Plan: Medicaid Spend Down

    When the state denies eligibility because your assets are over the income or total asset limit, you will need to spend down your resources on qualified expenses before becoming eligible. However, you may not just give away your assets to your family. This type of behavior can keep you ineligible for much longer.

    To qualify for Medicaid coverage, you must be careful about giving away resources or selling them for less than market value. Your eligibility may suffer penalization when you give away resources and do not receive equal compensation.

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    Do I Have To Give Away Everything To Qualify For Medicaid

    NOT SO! You dont have to be completely destitute to get Medicaid but rather have assets that are in a non-countable form. If your spouse or dependent relative lives in your primary residence or if you ever intend to return home, then your home is non-countable. You can also keep personal items, a car, some life insurance and certain other assets.

    Be Smart Family Planning Clarification On Sterilization And Eligibility

    Income Qualifications For Medicaid Nc

    Clinical Policy and Programs, DMA, 919-855-4260

    Background on Family Planning Medicaid

    The provision of family planning services and family planning-related services has been the sole purpose of the Be Smart Family Planning Medicaid program since it started in October 2005, and continued with the CMS approval of the State Plan Amendment in 2014.

    Be Smart Family Planning Medicaid, listed as MAFDN eligibility category in NCTracks, provides limited coverage to eligible beneficiaries. Family Planning Medicaid serves eligible beneficiaries, regardless of age or gender, but covers family planning and family planning related services only, as described in Clinical Policy 1E-7, Family Planning Services. Therefore, beneficiaries with MAFDN eligibility are not eligible for any other Medicaid program or categories of service.

    Be Smart and Sterilization

    Providers have been seeking clarification from N.C. Medicaid about sterilization and eligibility under the Be Smart program. The Centers for Medicare and Medicaid Services notified N.C. Medicaid that it is not acceptable to ask questions related to a beneficiarys sterilization status during the Medicaid application process. Therefore, some beneficiaries will be approved for Family Planning Medicaid who have no need for family planning services.

    Additional information about the Be Smart program and eligibility for services is found in the next section.

    Guidance for Providers of Be Smart Services

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    Medicaid Planning In Nc

    Even though 70% of individuals older than 65 now will need long-term care in the future, health insurance and Medicare do not cover long-term care costs. Medicaid may cover all of your long-term care costs if your income and assets are below the set levels in North Carolina. The NC Department of Health and Human Services Medicaid Eligibility Unit determines whether you qualify for Medicaid coverage for long-term care. Lets look at some of the requirements so that you may qualify for Medicaid while also maximizing your standard of living. Working on your Medicaid planning in NC can help you meet financial goals and still get the care you need in the future.

    Medicaid Family Planning Waiver Program

    The family planning waiver program covers family planning services to eligible women, ages 14 through 55. Services are provided up to 24 months. Eligibility is limited to women with family incomes at or below 191 percent of the Federal Poverty Level who have lost or are losing Florida Medicaid State Plan eligibility and are not otherwise eligible for Medicaid, Childrens Health Insurance Program, or health insurance coverage that provides family planning services.

    Recipients losing SOBRA eligibility will have passive enrollment during the first 12 months of losing Medicaid. Non-SOBRA women will have to actively apply for the first year of benefits at their local county health department. All women enrolled in the family planning waiver will have active re-determination of eligibility through their local county health department after 12 months of family planning waiver eligibility. In order to receive the second year of benefits, recipients must reapply at their local county health department.

    Legal Authority: Section 381.0051, Florida Statutes, Contraceptive information and services may be rendered to minors by practitioners licensed to practice medicine under the provisions of Section 458 or 459, Florida Statutes, as well as by the Department of Health through its family planning waiver program, provided the minor:

    The family planning waiver program covers the following services:

    Also Check: West Virginia Medicaid Provider Enrollment

    Option 1 Apply Online

    You can apply online through the North Carolina ePASS Portal as shown in the image below.

    If you have an account, you can log in or create your North Carolina ePASS Account. to be taken to the website.

    The video below, from the North Carolina Department of Health and Human Services does a great job of walking you through how to apply for Medicaid online.

    We highly encourage you to watch it if you are planning to apply for NC Medicaid online.

    What Is Medicaid

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    Medicaid is a federal and state health insurance program for people with a low income.

    It provides free or low-cost health coverage to millions of Americans, including families and children, pregnant women, the elderly, and people with disabilities.

    The Childrens Health Insurance Program offers health coverage to children in families with incomes too high to qualify for Medicaid, but who cant afford private coverage.

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