Discontinues the Medicaid and Health Choice primary care case management program (PCCM) effective January 1, 2016. Provides that the Department of Health and Human Services (DHHS) cannot renew or extend the contract for PCCM services with North Carolina Community Care Networks Inc. (NCCCN) beyond December 31, 2015.
Requires DHHS to take all actions necessary to discontinue the current Medicaid and Health Choice PCCM program as implemented by NCCCN. Providing that as soon as reasonably possible, but not later than October 1, 2015, DHHS must submit to the Centers for Medicare and Medicaid a Medicaid state plan amendment eliminating the PCCM program. Also provides that if the Centers for Medicare and Medicaid have not approved the state plan amendment by January 1, 2016, DHHS must still discontinue all payments related to the PCCM program beginning January 1, 2016.
Provides a limiting clause, that nothing in this act prohibits DHHS from developing and utilizing contracts for managed care other than PCCM after January 1, 2016.
Provides that the General Assembly intends that the estimated $172 million in savings resulting from the discontinuation of the PCCM program will be used to mitigate the lost reimbursement to primary care providers for PCCM participation.
Amends GS 108A-70.21(b) making conforming changes, deleting references to the provision of services by NCCCN. Effective January 1, 2016.
Bill Summaries: S701 DISCONTINUE MEDICAID CONTRACT FOR PCCM.
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Bill S 701 (2015-2016)Summary date: Apr 1 2015 - View Summary