COVID-19 Policy Flexibilities

• Medicaid Disaster State Plan Amendment Round 1 and request letter - April 8, 2020, under review by CMS
  • Approval letter for Medicaid Disaster State Plan Amendment Round 1 - May 18, 2020, approved by CMS

• Medicaid Disaster Plan Amendment Round 2 and request letter - May 27, 2020, submitted to CMS 
  • Approval letter for Medicaid Disaster State Plan Amendment Round 2 - Aug. 18, approved by CMS

• Medicaid Disaster Plan Amendment Round 3 and request letter - June 25, 2020, submitted to CMS 
  • Approval letter for Medicaid Disaster State Plan Amendment Round 3 - Sept. 4, 2020, approved by CMS

• Medicaid Disaster Plan Amendment Round 4 and request letter - July 30, 2020, submitted to CMS
  • Approval letter for Medicaid Disaster State Plan Amendment Round 4 - Aug. 20, 2020, approved by CMS

• Press Release - March 18, 2020

• Medicaid Disaster Plan Amendment Round 5 and request letter - Oct. 7, 2020
  • Approval letter for Medicaid Disaster State Plan Amendment Round 5 - Jan. 5, 2021, approved by CMS

• Medicaid Disaster Plan Amendment Round 6 and request letter - Nov. 4, 2020, submitted to CMS

• Medicaid Disaster Plan Amendment Round 7 - March 29, 2021, approved by CMS
  • NC Medicaid Disaster SPA 22-0015 (Replace COVID Rates)
  • NC Medicaid Disaster SPA 22-0016 (Temp HCBS COVID Rate Increase) 
  • NC Medicaid Disaster SPA 22-0017 (Temp  Non-HCBS COVID Rate Increase)

• Medicaid Disaster Plan Amendment Round 8 and request letter - Mar. 6, 2022, submitted to CMS

• Medicaid 1115 Waiver Request  - submitted March 27, 2020, under review by CMS
• CMS 1115 Approval - approved June 25, 2020
• North Carolina 1115 Acceptance Letter - submitted July 9, 2020
• North Carolina COVID-19 PHE 1115 Demonstration Technical Corrections Approval - approved Sept. 11, 2020
• Disaster 1115 Evaluation Plan for Submission to CMS 
• 1115 PMDA New Deliverable Assigned 

• Medicaid 1135 Waiver Request for Temporary Flexibilities - March 17, 2020, under review by CMS
  • Initial approval letter for 1135 flexibilities - approved by CMS on March 23, 2020
  • 1135 flexibilities Round 2, submitted to CMS Aug. 13, 2020
  • Approval Letter Round 2, approved Aug. 28, 2020

• NC Health Choice (CHIP) State Plan Amendment - March 17, 2020, under review by CMS
  • Approval letter NC Health Choice (CHIP) State Plan Amendment  – April 24, 2020, approved by CMS

Medicaid 1915(c) Appendix K Waiver Flexibilities (Innovations, TBI, CAP/DA and CAP/C)

• Appendix K, CAP/DA and CAP/C Approval Letter - Approved by CMS on Aug. 2, 2022
  • Appendix K, CAP/DA - Approved by CMS on Aug. 2, 2022
  • Appendix K, CAP/C - Approved by CMS on Aug. 2, 2022

• Appendix K, CAP/DA and CAP/C Approval Letter - Approved by CMS on July 19, 2022
  • Appendix K, CAP/DA - Approved by CMS on July 19, 2022
  • Appendix K, CAP/DA - Approved by CMS on July 19, 2022
  • Appendix K, CAP/C - Approved by CMS on July 19, 2022

• Appendix K, Innovations, TBI Approval Letter - Approved by CMS on Aug. 2, 2021
  • Appendix K, Innovations - Aug. 2, 2021
  • Appendix K, TBI - Aug. 2, 2021
  • Waiver Summary Chart - April 21, 2020
  • Press Release - April 21, 2020

Approval

• Approval letter for Combined Waiver Temporary Flexibilities CAP/C, CAP/DA, NC Innovations and TBI - approved by CMS on March 10, 2021
  • Community Alternatives Program for Children 
  • Community Alternatives Program for Disabled Adults 
  • NC Innovations 
  • NC Traumatic Brain Injury Waiver 

• Approval letter for Combined Waiver Temporary Flexibilities - approved by CMS on April 6, 2020
• Approval letter for Combined Waiver Temporary Flexibilities - approved by CMS on July 6, 2020

• Request for Innovations Waiver Temporary Flexibilities - submitted March 13, 2020
  • Approval letter for Innovations Waiver Temporary Flexibilities - approved by CMS on April 6, 2020

• Request for Traumatic Brain Injury Waiver Temporary Flexibilities - submitted March 13, 2020 
  •  Approval letter for Traumatic Brain Injury Waiver Temporary Flexibilities - approved by CMS on April 6, 2020

• Appendix K 2nd Wave - NC Innovations Waiver - approved by CMS - May 27, 2020
• Appendix K 2nd Wave - NC Innovations Waiver - approved by CMS - July 6, 2020 

• Appendix K 2nd Wave - NC TBI Waiver - approved by CMS - May 27, 2020
• Appendix K 2nd Wave - NC TBI Waiver  - approved by CMS - July 6, 2020

• Request for Community Alternatives Program for Children Waiver Temporary Flexibilities - submitted March 13, 2020 
  • Revised Approval letter for Community Alternatives Program for Children Waiver Temporary Flexibilities - approved by CMS on Aug. 27, 2020
  • Approval letter for Community Alternatives Program for Children Waiver Temporary Flexibilities - approved by CMS on April 6, 2020

• Request for Community Alternatives Program for Disabled Adults Waiver Temporary Flexibilities - submitted March 13, 2020
  • Revised Request for Community Alternatives Program for Disabled Adults Waiver Temporary Flexibilities - submitted Aug. 27, 2020
  • Approval letter for Community Alternatives Program for Disabled Adults Waiver Temporary Flexibilities - approved by CMS on April 6, 2020

• Approval letter for Combined Waiver Temporary Flexibilities CAP/C and CAP/DA - approved by CMS on Oct. 29, 2020
  • Community Alternatives Program for Children Waiver Temporary Flexibilities
  • Community Alternatives Program for Disabled Adults Temporary Flexibilities

• Approval letter for Appendix K 3rd Wave - NC Innovations Waiver - approved by CMS on Sept. 21, 2020
• Appendix K 3rd Wave - NC Innovations Waiver - approved by CMS on Sept. 21, 2020
• Approval Letter for Appendix K 3rd Wave - NC TBI Waiver - approved by CMS on Dec. 21, 2020
• Appendix K 3rd Wave - NC TBI Waiver - approved by CMS on Dec. 21, 2020

• NC Medicaid Concurrence Letter - March 17, 2020 (under review by CMS)

Request for Emergency Demonstration Project Under Section 1115 of the Social Security Act - April 13, 2020, under review by CMS