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NC Register Volume 21 Issue 09 - Office of Administrative Hearings

NC Register Volume 21 Issue 09 - Office of Administrative Hearings

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PROPOSED RULES<br />

individual and the individual's spouse, or if<br />

under age 18, the combined available<br />

resources and income <strong>of</strong> the individual and the<br />

individual's parents), including all countable<br />

and excluded income and resources, are<br />

sufficient to provide the individual medical<br />

care, food, clothing, shelter, and other<br />

necessities <strong>of</strong> life such that the individual's<br />

health or life would not be endangered as<br />

defined in Subparagraph (e)(4) <strong>of</strong> this Rule.<br />

(g) If the Director <strong>of</strong> the county department <strong>of</strong> social services or<br />

the Director's designee determines that:<br />

(1) An undue hardship exists, the county<br />

department <strong>of</strong> social services shall waive the<br />

penalty beginning with the month <strong>of</strong> the<br />

application for the waiver or the month in<br />

which all requirements in Paragraph (e) <strong>of</strong> this<br />

Rule are met whichever is later and notify the<br />

individual <strong>of</strong> approval <strong>of</strong> the waiver <strong>of</strong> the<br />

penalty pursuant to G.S. 108A-79.<br />

(2) An undue hardship does not exist, the county<br />

department <strong>of</strong> social services shall deny the<br />

request for the waiver <strong>of</strong> the penalty and notify<br />

the individual <strong>of</strong> denial <strong>of</strong> the waiver request<br />

pursuant to G.S. 108A-79.<br />

(3) An undue hardship would exist except that the<br />

individual has sufficient available income and<br />

resources as provided in Subparagraph (f)(3)<br />

<strong>of</strong> this Rule for a portion <strong>of</strong> the penalty period,<br />

the county department <strong>of</strong> social services shall<br />

grant the waiver only for the portion <strong>of</strong> the<br />

penalty period for which there are not<br />

sufficient resources and income.<br />

(h) During a penalty period or any portion <strong>of</strong> a penalty period<br />

that has been waived because <strong>of</strong> undue hardship, acquisition by<br />

the individual, individual's spouse, or the parent or parents <strong>of</strong> an<br />

individual under age 18, <strong>of</strong> new or increased income or<br />

resources shall be treated as a change in situation and evaluated<br />

under the rules <strong>of</strong> this Chapter.<br />

(i) While the undue hardship application is pending, Medicaid<br />

shall not make payments for nursing facility services to hold a<br />

bed for the individual, as described in 42 U.S.C. 1396p(c)(2)(D).<br />

Authority G.S. 108A-54; 108A-58.1; P.L 1<strong>09</strong>-171; 42 U.S.C.<br />

1396p.<br />

* * * * * * * * * * * * * * * * * * * *<br />

Notice is hereby given in accordance with G.S. 150B-<strong>21</strong>.2 that<br />

the Commission for Health Services intends to amend the rules<br />

cited as 10A <strong>NC</strong>AC 43D .0202 and .0706.<br />

Proposed Effective Date: April 1, 2007<br />

Public Hearing:<br />

Date: November 27, 2006<br />

Time: 1:30 p.m. – 3:30 p.m.<br />

Location: Cardinal Room, 5605 Six Forks Road, Raleigh, <strong>NC</strong><br />

276<strong>09</strong><br />

Reason for Proposed Action: The proposed rule amendments<br />

are required to comply with the Child Nutrition and WIC<br />

Reauthorization Act <strong>of</strong> 2004, P.L. 108-265 and the subsequent<br />

interim rule published by Food and Nutrition Services (FNS) <strong>of</strong><br />

the US Department <strong>of</strong> Agriculture in the Federal <strong>Register</strong> on<br />

November 29, 2005. The intent <strong>of</strong> these amendments is to<br />

implement specific cost containment strategies to maximize the<br />

number <strong>of</strong> women, infants, and children served with available<br />

federal funding.<br />

Procedure by which a person can object to the agency on a<br />

proposed rule: Objections may be submitted in writing to Chris<br />

G. Hoke, JD, the Rule-Making Coordinator, during the public<br />

comment period. Additionally, objections may be made verbally<br />

or in writing at the public hearing for these rule amendments.<br />

Comments may be submitted to: Chris G. Hoke, 1915 Mail<br />

Service Center, Raleigh, <strong>NC</strong> 27699-1915, email<br />

chris.hoke@ncmail.net<br />

Comment period ends: January 1, 2007<br />

Procedure for Subjecting a Proposed Rule to Legislative<br />

Review: If an objection is not resolved prior to the adoption <strong>of</strong><br />

the rule, a person may also submit written objections to the<br />

Rules Review Commission. If the Rules Review Commission<br />

receives written and signed objections in accordance with G.S.<br />

150B-<strong>21</strong>.3(b2) from 10 or more persons clearly requesting<br />

review by the legislature and the Rules Review Commission<br />

approves the rule, the rule will become effective as provided in<br />

G.S. 150B-<strong>21</strong>.3(b1). The Commission will receive written<br />

objections until 5:00 p.m. on the day following the day the<br />

Commission approves the rule. The Commission will receive<br />

those objections by mail, delivery service, hand delivery, or<br />

facsimile transmission. If you have any further questions<br />

concerning the submission <strong>of</strong> objections to the Commission,<br />

please call a Commission staff attorney at 919-733-27<strong>21</strong>.<br />

Fiscal Impact:<br />

State<br />

Local<br />

Substantive (>$3,000,000)<br />

None<br />

CHAPTER 43 – PERSONAL HEALTH<br />

SUBCHAPTER 43D - WIC/NUTRITION<br />

SECTION .0200 - WIC PROGRAM GENERAL<br />

INFORMATION<br />

10A <strong>NC</strong>AC 43D .0202 DEFINITIONS<br />

For the purposes <strong>of</strong> this Subchapter, all definitions set forth in 7<br />

C.F.R. Part 246.2 are hereby incorporated by reference,<br />

including subsequent amendments and additions, with the<br />

following additions and modifications:<br />

(1) An "administrative appeal" is an appeal in<br />

accordance with Section .0800 <strong>of</strong> this<br />

<strong>21</strong>:<strong>09</strong> NORTH CAROLINA REGISTER NOVEMBER 1, 2006<br />

765

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