MEDICAID RATES/AMBULATORY SURGICAL CENTERS.

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View NCGA Bill Details(link is external)2025-2026 Session
Senate Bill 737 (Public) Filed Tuesday, March 25, 2025
AN ACT TO ADJUST MEDICAID RATES PAID TO AMBULATORY SURGICAL CENTERS.
Intro. by Corbin, Barnes, Adcock.

Status: Re-ref Com On Appropriations/Base Budget (Senate action) (Mar 26 2025)
S 737

Bill Summaries:

  • Summary date: Mar 27 2025 - View Summary

    Requires the Department of Health and Human Services, Division of Health Benefits (Division), to amend the Medicaid State Plan to set and adjust rates for all services provided by licensed ambulatory surgical centers so that these services are reimbursed at a rate of at least 95% of the Medicare Ambulatory Surgical Centers fee schedule in effect as of January 1 of each year, as published by the Centers for Medicare and Medicaid Services (CMS). Specifies that the initial rate adjustments are effective on the effective date approved by CMS for the State Plan amendment.

    Appropriates $6,916,000 from the General Fund to the Division in recurring funds for each year of the 2025-27 biennium to implement the changes required by the act. Specifies that the funds provide a State match for the $12,633,000 in recurring federal funds during this time.

    Effective July 1, 2025.