10A NCAC 22L .0202. ENROLLMENT

(a)  Enrollment is voluntary in all service areas with the exception of Mecklenburg County.  In Mecklenburg County, eligibles in the following program aid categories are required to join an HMO if they do not have Medicare coverage:

(1)           Work First Family Assistance (WFFA);

(2)           Family and Children's Medicaid without deductible (MAF);

(3)           Medicaid for Infants and Children (MIC);

(4)           Medicaid for Pregnant Women (MPW);

(5)           Medicaid for the Blind and Disabled (MAB, MAD and MSB); and

(6)           Adult Care Home Residents (SAD).

(b)  Each contract shall define eligibles and service areas, according to the provisions in 42 CFR 434, Subpart C, which is hereby incorporated by reference including subsequent amendments and editions.  This material is available for inspection at the Department of Health and Human Services, Division of Medical Assistance, 1985 Umstead Drive, Raleigh, North Carolina.  Copies of the cited regulation may be obtained from the Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402 at a cost of twenty-one dollars ($21.00).

 

History Note:        Authority G.S. 108A-25(b);

Eff. August 3, 1992;

Amended Eff. April 1, 1999.