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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