COVID-19 Policy Flexibilities

Federal Funding for Providers and Hospitals to Address COVID-19

• Key Federal Funding Available for Health Care Providers and Hospitals - June 17, 2020
• Federal Provider Relief Fund: Guidance on How to Access "General Distribution" Funds - May 29, 2020

NC Medicaid Requests to and Approvals from CMS for Temporary Medicaid, NC Health Choice and Waiver 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 
  • Medicaid Disaster Plan Amendment Round 3 and request letter - June 25, 2020, submitted to CMS 
  • Medicaid Disaster Plan Amendment Round 4 and request letter - July 30, 2020, submitted to CMS
• Press Release - March 18, 2020
• 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
• 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
• 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
• NC Medicaid Concurrence Letter - March 17, 2020 (under review by CMS)
• Medicaid 1915(c) Appendix K Waiver Flexibilities (Innovations, TBI, CAP/DA and CAP/C)
  • Waiver Summary Chart - April 21, 2020
  • Press Release - April 21, 2020
  • Approval letter for Combined 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 TBI Waiver - approved by CMS - May 27, 2020
  • Approval letter for Combined Waiver Temporary Flexibilities - approved by CMS on July 6, 2020
  • Appendix K 2nd Wave - NC Innovations Waiver - approved by CMS - July 6, 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 
  • 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
  • Approval letter for Community Alternatives Program for Disabled Adults Waiver Temporary Flexibilities - approved by CMS on April 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
• Request for Emergency Demonstration Project Under Section 1115 of the Social Security Act - April 13, 2020, under review by CMS