Directs the Department of Health and Human Services, Division of Health Benefits to make the following changes to Medicaid substance use disorder payments, each per diem:(1) ASAM level 2.1 substance use intensive outpatient program services increased to $255.28. (2) ASAM level 2.5 substance use comprehensive outpatient treatment program services increased to $400.00. (3) Coverage for ASAM level 3.1 clinically managed low-intensity residential treatment services established at a rate of $350.00. (4) Coverage for ASAM level 3.3 clinically managed high-intensity treatment services established at a rate of $250.00. (5) Coverage for ASAM level 3.5 clinically managed residential treatment services established at a rate of $550.00. (6) ASAM level 3.7 substance use medically monitored community residential treatment services increased to $650.00. (7) ASAM level 3.7 non-hospital medical detoxification services increased to $756.65.Appropriates $15,000,000 to DHB in recurring funds for each year of the 2025-2027 biennium from the General Fund to establish and increase the rates under this act. Also appropriates to DHB the federal recurring funds of $27,400,000 for each year of the 2025-2027 biennium for the same purpose.Effective July 1, 2025.
MEDICAID SUD SERVICES RATE ADJUSTMENT ACT.
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View NCGA Bill Details(link is external) | 2025-2026 Session |
AN ACT TO ESTABLISH AND ADJUST MEDICAID REIMBURSEMENT RATES FOR SUBSTANCE USE DISORDER SERVICES.Intro. by Meyer, Adcock, Batch.
Status: Ref To Com On Rules and Operations of the Senate (Senate action) (Mar 26 2025)
Bill History:
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Tue, 25 Mar 2025 Senate: Filed(link is external)
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Wed, 26 Mar 2025 Senate: Passed 1st Reading(link is external)
S 567
Bill Summaries:
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Bill S 567 (2025-2026)Summary date: Mar 27 2025 - View Summary
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