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.

30-day Posting for Submission to the Centers for Medicare and Medicaid Services (CMS)

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. Submit comments on postings by emailing Medicaid.EvalTeam.AMRP@dhhs.nc.gov.

2016-2018 Access Monitoring Review Plan (AMHRP)

Proposed Public Notices for State Plans

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)

2021 Ten-day Posting for Submission to the Centers for Medicare and Medicaid Services (CMS)

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