MEDICAL ACCESS PLAN - North Carolina
MEDICAL ACCESS PLAN
REFERENCE MANUAL
TABLE OF CONTENTS
INTRODUCTION………………………………………………….. 1
SECTION I (Brief Overview)………………………………………. 2
SECTION II (MAP Enrollment Instructions)
I. Screen EU for MAP Eligibility……………………………….. 4
II. Medicaid/NC Health Choice Eligibility Screen………………. 6
III. Request for Information Verification ……………………… … 7
IV. Completion of the MAP Application Process…………..…….. 8
V. Charging Patient Visits………………………………………... 10
VI. Front Office Duties…………………………………………..... 10
VII. EU Updates…………………………………………………… 11
VIII. MAP Eligibility Annual Renewals……………………………. 12
IX. Provision of Materially False Information…………………….. 13
X. MAP EU Exceptions…………………………………………… 14
XI. Collection of Payment from NC ORHCC Funds……….……… 14
SECTION III (Appendices)…………………………………………… 15
Appendix A: MAP Eligibility Information Worksheets in English
Appendix B: MAP Eligibility Information Worksheets in Spanish
Appendix C: Technical Information
Appendix D: Examples
Appendixes E: Monthly MAP Worksheets
Appendix F: Payment Plan Patient Contract
Appendix G: Copayment Policy Addendum
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