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NC Medicaid »   About Us »   COVID-19 Guidance and Resources »   Providers »   COVID-19 Policy Flexibilities

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
  • 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
Medicaid 1115 Waiver Request
  • 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
  • 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
  • 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)
  • Medicaid 1915(c) Appendix K Waiver Flexibilities (Innovations, TBI, CAP/DA and CAP/C)

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

    Emergency Demonstration Project

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

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