SPECIAL BULLETIN COVID-19 #159: Update on Appendix K Flexibilities

Friday, March 5, 2021

NC Medicaid has updated its emergency planning document, referred to as Appendix K, to extend its flexibilities on how Medicaid providers and beneficiaries may access and receive home- and community-based services (HCBS) through the Community Alternatives Programs for Children and Disabled Adults (CAP/C and CAP/DA), and the NC Innovations waiver and Traumatic Brain Injury (TBI) waiver. 

CAP/C, CAP/DA, NC Innovations and TBI waiver Appendix Ks have been updated to include an anticipated end date of “through six months following the end of the Public Health Emergency.” The anticipated end date of the federal public health emergency is currently April 20, 2021.

As a result, NC Medicaid is moving forward with extending the Appendix Ks for CAP/C, CAP/DA, the NC Innovations waiver and TBI waiver to the new prospective end date of Oct. 20, 2021, while we await formal approval from CMS.

This Appendix K extension applies to all of the previously approved CAP/C, CAP/DA, NC Innovations and TBI waiver Appendix K flexibilities.

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