North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION
Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS
Section .0100 - NON-FINANCIAL REQUIREMENTS
Section 23E .0103 - RESIDENCE

Universal Citation: 10A NC Admin Code 23E .0103

Current through Register Vol. 39, No. 6, September 16, 2024

(a) The requirements stated in 42 CFR 435.403 shall apply to determine residence in the State except for provisions in Paragraph (b) of this Rule.

(b) Residents of the state of Georgia who enter a long term care facility in NC within 40 miles of the resident state's border shall retain residence in Georgia. Residents of NC who enter a long term care facility in Georgia within 40 miles of the NC border retain NC residency.

(c) An individual visiting without intent to reside in the State shall be ineligible for NC Medicaid.

(d) An individual who moves to another state and intends to reside in that state shall not be eligible for NC Medicaid.

(e) County residence:

(1) Any client who moves from one county to another North Carolina county shall continue to receive assistance so long as eligibility continues.

(2) An individual has residence in the county in which he or she resides. However, if he or she is in a hospital, mental institution, intermediate care facility, skilled nursing home, boarding home, penal institution, or similar facility, the county where the facility is located shall not be his or her legal residence. Except for (e)(3) in this Rule, the county of legal residence shall be the county where the individual lived in a private living arrangement prior to entering a facility.

(3) If an individual who became disabled prior to age 18 has remained in a facility, he or she remains a resident of the county and state where his or her parent(s) had residence immediately prior to his or her reaching age 18. If, as an adult, he or she is applying for assistance and it is not possible for the individual to trace his or her county of residence as a minor, he or she shall establish residence based on where he or she intends to reside, regardless of his or her parent's current legal residence.

Authority G.S. 108A-54; 108A-54.1B; 108A-55.3; 42 C.F.R. 435.403;
Eff. September 1, 1984;
Amended Eff. August 1, 1990;
Transferred from 10A NCAC 21B .0303 Eff. May 1, 2012;
Readopted Eff. June 1, 2019.

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