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NC Medicaid »   Meetings & Notices »   Medicaid State Plan Public Notices

Medicaid State Plan Public Notices

Title XIX of the Social Security Act requires that North Carolina provide a plan to administer and manage the North Carolina Medicaid Program. The North Carolina Medicaid State Plan outlines the organization and function of the Division of Health Benefits. It provides amount, scope and duration of services, as well as eligibility requirements.

Waivers

Community Alternatives Program for Disabled Adults Renewal Waiver Application Update

NO POSTING

For more information, please visit the CAP/DA webpage.

Traumatic Brain injury Waiver Application Update

A draft application for § 1915 (c) Home and Community-Based Services (HCBS) Traumatic Brain Injury Waiver is posted for a 30-day public comment period. The public comment period is from January 27-February 26, 2021. The currently approved TBI Waiver waiver with an effective date of May 1, 2018 will continue to operate at the levels that are previously approved. Submit your comment via email to Medicaid.WaiverComment@dhhs.nc.gov.

TBI Waiver and Public Comment

Community Alternatives Program for Children Amended Waiver Application Update

A draft application for § 1915 (c) Home and Community-Based Services (HCBS) Waiver for the Community Alternatives Program for Children (CAP/C) is posted for a 30-day public comment period. The public comment period is from August 23-September 21, 2019. The currently approved CAP/C waiver with an effective date of March 1, 2017 will continue to operate at the levels that are previously approved. 

CAP/C 1915(c) Waiver Amended Application

For more information, please visit the CAP/C webpage.

Access Monitoring Review Plan

In 2015, the Centers for Medicare and Medicaid Services (CMS) established regulations (42 CFR § 447.203) for states to document whether Medicaid payments are sufficient to enlist providers to assure beneficiary access to covered services. These regulations require states to develop and submit an access monitoring review plan (AMRP or Plan), every three years, for selected service categories. The Plan must present an access monitoring analysis including data sources, methodologies, baselines and assumptions. 2016-2018 Access Monitoring Review Plan (AMHRP) 

Proposed Public Notices for State Plans

  • 2022 Proposed Public Notices
  • 2021 Proposed Public Notices
  • 2020 Proposed Public Notices
  • 2019 Proposed Public Notices
  • 2018 Proposed Public Notices
  • 2017 Proposed Public Notices
  • 2016 Proposed Public Notices
  • 2015 Proposed Public Notices
  • 2014 Proposed Public Notices
  • 2013 Proposed Public Notices

Ten-Day Posting for Submission to the Centers for Medicare and Medicaid Services (CMS) 

  • 2022 Ten-Day Posting for Submission to CMS
  • 2021 Ten-Day Posting for Submission to CMS

2022 Proposed Amendments Sent to CMS

  • SPA 22-0003 Proposed Amendment CRNA Services
  • SPA 22-0004 Proposed Amendment Medical Home Fees
  • SPA 22-0006 Proposed Amendment ICF-IDD Rates Increase
  • SPA 22-0007 Proposed Amendment Private Duty Nursing
  • SPA 22-0008 Proposed Amendment Select Rehab Services
  • SPA 22-0010 Proposed Amendment Qualifying Clinical Trials
  • SPA 22-0011 Proposed Amendment ICF IID Therapeutic Leave
  • SPA 22-0012 Proposed Amendment 12-month postpartum continuous eligibility

Proposed Amendments Sent to CMS

  • 2021 Proposed Amendments Sent to CMS
  • 2020 Proposed Amendments Sent to CMS
  • 2019 Proposed Amendments Sent to CMS
  • 2018 Proposed Amendments Sent to CMS
  • 2017 Proposed Amendments Sent to CMS
  • 2016 Proposed Amendments Sent to CMS
  • 2015 Proposed Amendments Sent to CMS
  • 2014 Proposed Amendments Sent to CMS
  • 2013 Proposed Amendments Sent to CMS

Modified Adjusted Gross Income (MAGI)

2015 State Plan Amendment - MAGI

Updates

  • 2022 Updates
  • 2021 Updates
  • 2020 Updates
  • 2019 Updates
  • 2018 Updates
  • 2017 Updates
  • 2016 Updates
  • 2015 Updates
  • 2014 Updates

Medicaid State Plan

State Plan under Title XIX of the Social Security Act Medical Assistance Program

NC Health Choice State Plan

Child Health Plan under Title XXI of the Social Security Act Children's Health Insurance Program

This page was last modified on 05/03/2022

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NC Medicaid
Division of Health Benefits

2501 Mail Service Center
Raleigh, NC 27699-2501
 
NC Medicaid Contact Center
Phone: 888-245-0179
Monday-Friday 8 a.m. to 5 p.m.
Closed on State holidays. 
 
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https://medicaid.ncdhhs.gov/meetings-notices/medicaid-state-plan-public-notices