AN ACT MODIFYING CERTAIN MEDICAID-RELATED PROVISIONS OF THE 2020 COVID-19 RECOVERY ACT, UPDATING THE MEDICAID PROGRAM BENEFICIARY APPEALS PROCESSES, INCREASING THE AMOUNT OF ALLOWABLE THERAPEUTIC LEAVE UNDER THE MEDICAID PROGRAM, CLARIFYING THE CODIFICATION OF BEHAVIORAL HEALTH SERVICES COVERED BY STANDARD BENEFIT PLANS, AUTHORIZING COVERAGE OPTIONS FOR BEHAVIORAL HEALTH SERVICES FOR POPULATIONS NOT COVERED BY PREPAID HEALTH PLAN CONTRACTS, REVISING THE TRANSFER OF AREA AUTHORITY FUND BALANCES, REMOVING THE RATE FLOOR FOR DURABLE MEDICAL EQUIPMENT, AND MAKING VARIOUS TECHNICAL CORRECTIONS TO THE STATUTES GOVERNING THE NORTH CAROLINA MEDICAID PROGRAM.
House amendments to the 3rd edition make the following changes.
Amendment #1 further amends GS 108D-35 by adding peer support services to those services that must be covered by all capitated PHP contracts.
Amendment #2 amends the requirement that the Department of Health and Human Services (DHHS) post on its website any formula developed for determining the amount of risk reserve and other funds to be transferred when a county disengages from one area authority and realigns with another area authority, by requiring that the formula be posted before it is finalized. Requires that the final version of the formula be posted to the website by August 1, 2021.
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