Appropriates $11.2 million in recurring funds for each year of the 2025-27 biennium from the General Fund to the Department of Health and Human Services, Division of Health Benefits (Division)to increase to $7.50 per 15-minute increment the Medicaid rate paid for personal care services pursuant to the specified Medicaid Clinical Coverage Policies provided to Medicaid beneficiaries through the State Plan Personal Care Services Program (PCS), Community Alternatives Program for Children (CAP/C), Community Alternatives Program for Disabled Adults (CAP/DA), and Community Alternatives Program Choice (CAP/CO). Specifies that these funds provide a state match for federal funds.
Appropriates $19.8 million in recurring funds for each year of the 2025-27 biennium from the General Fund to Division for an increase to $16.25 per 15 minutes the Medicaid rate paid for private duty nursing services pursuant to the specified Medicaid Clinical Coverage policies. Specifies that these provide a State match for federal fuds.
Effective July 1, 2025.
INCREASE MEDICAID PCS AND PDN RATES.
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| View NCGA Bill Details(link is external) | 2025-2026 Session |
AN ACT TO INCREASE MEDICAID REIMBURSEMENT RATES FOR PERSONAL CARE SERVICES AND PRIVATE DUTY NURSING SERVICES.Intro. by White, Wheatley, Cunningham, Lambeth.
Status: Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House (House action) (Mar 20 2025)
Bill History:
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Tue, 18 Mar 2025 House: Filed(link is external)
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Thu, 20 Mar 2025 House: Passed 1st Reading(link is external)
H 453
Bill Summaries:
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Bill H 453 (2025-2026)Summary date: Mar 18 2025 - View Summary
View: All Summaries for Bill
Identical to S 366, filed 3/20/25.