RETROACTIVE PERSONAL CARE SERVICES PAYMENT.

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View NCGA Bill Details2017-2018 Session
House Bill 879 (Public) Filed Monday, April 24, 2017
AN ACT TO PROVIDE FOR A 90-DAY RETROACTIVE PERIOD FOR PRIOR APPROVALS FOR PERSONAL CARE SERVICES AS PART OF THE NORTH CAROLINA MEDICAID PROGRAM.
Intro. by Dobson.

Status: Ref To Com On Appropriations (House Action) (Apr 25 2017)

Bill History:

H 879

Bill Summaries:

  • Summary date: Apr 24 2017 - View Summary

    Requires the Department of Health and Human Services, Division of Medical Assistance, to amend Section 5.5 (Retroactive Prior Approval for PCS) of the Clinical Coverage Policy 3L, State Plan Personal Care Services, to extend the allowable retroactive period for prior approvals for personal care services from 10 to 90 days.  Change in policy does not require Medicaid reimbursement for personal care services within the retroactive period in excess of care approved through the prior approval process.  Department is not required to maintain change in policy beyond June 30, 2019.

    Appropriates from the General Fund to the DHHS Division of Medical Assistance $4,897,000 in 2017-18 and $5,157,000 in 2018-19 to provide a match for federal Medicaid funds to implement the 90-day retroactive period authorized by the act.

    Effective July 1, 2017, and applies to requests for care submitted on or after that day.