ND Medicaid - Eligible Foster Children 623-05-45-10

(Revised 11/1/19 ML #3566)

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PI 21-10

 

 

 

Medicaid eligibility questions regarding foster children should be referred to county of financial responsibility. If the child is eligible for Title IV-E benefits, this child becomes “categorically” Medicaid eligible. The eligibility worker will authorize Medicaid coverage accordingly. If the child is not eligible for Title IV-E benefits, a Medicaid determination must be made according to policy set forth by ND Medicaid eligibility policy. See DN 1475 "Foster Children - Medicaid" for quick reference.

 

Foster care case managers and foster care providers must inform the medical provider of the foster child's Medicaid eligibility status. Foster children entering placement with a therapeutic/treatment foster care provider must have their Medicaid eligibility determined prior to referral. The treatment (rehabilitation) amount may be paid by Title XIX, or some other resource. Rehabilitation costs CANNOT BE PAID THROUGH FOSTER CARE.

 

Excess medical expenses billed to the financial county, not reimbursable by Medicaid or other insurance, are not a foster care expense and cannot be paid with foster care funding. It is important case management assist foster care providers in identifying and utilizing medical providers who accept ND Medicaid or who are willing to enroll as ND Medicaid providers.

 

Medicaid eligibility for young people aging out of ND foster care must meet the requirements of Medicaid eligibility policy in order to obtain and maintain Medicaid until the age of 26. See DN 1476 “Former Foster Youth – Medicaid” for quick reference.