Medicaid Coverage for Former NC Foster Care Children

The Patient Protection and Affordable Care Act (ACA) requires states to cover former foster care children up to the age of 26 if certain criteria are met. As of January 1, 2014, children who turn age 18 and are terminated out of NC foster care continue to receive Medicaid under eligibility category MFC (Medicaid to Former Foster Care Children), if they do not fall into any other Medicaid eligibility category.

On March 2, 2015, NCTracks is implementing some changes related to MFC. MFC claims have been addressed separately, so the claims impact will be seamless to the providers. What providers will see beginning March 2 is MFCGN or MFCNN as the category of eligibility on the eligibility verification responses for these recipients. The new category of eligibility information will be available via the 271 X12 transaction, the NCTracks secure provider portal, and the Automated Voice Response System (AVRS).