LME/MCO FUNDS TRANSFER/PARTNERS ADD'L FUNDING.

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View NCGA Bill Details2021
House Bill 879 (Public) Filed Tuesday, May 4, 2021
AN ACT TO PROVIDE FUNDING FOR PARTNERS HEALTH MANAGEMENT, A LOCAL MANAGEMENT ENTITY/MANAGED CARE ORGANIZATION (LME/MCO), FOR STAFF TRAINING AND DEVELOPMENT OF PROVIDER NETWORKS AND TO DIRECT THE TRANSFER OF LME/MCO FUNDS UPON DISSOLUTION OF AN LME/MCO OR DISENGAGEMENT OF A COUNTY OR COUNTIES FROM AN LME/MCO.
Intro. by K. Baker, Arp, Willis.

Status: Ref to the Com on Health, if favorable, Appropriations, if favorable, Rules, Calendar, and Operations of the House (House action) (May 5 2021)
H 879

Bill Summaries:

  • Summary date: May 7 2021 - View Summary

    Appropriates $10 million from the General Fund to the Department of Health and Human Services (DHHS), Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (Division) for 2021-22 to be allocated to the LME/MCO Partners Health Management to be used for staff training and development of its health care provider networks.

    Amends GS 122C-115.3(e), regarding the dissolution of an area authority. Now requires any fund balance or risk reserve (was, fund balance only) available to an area authority at the time of its dissolution that is not used to pay liabilities to be transferred to one or more area authorities contracted to operate the 1915(b)/(c) Medicaid waiver or a Behavioral Health and Intellectual/Developmental Disability (BH IDD) tailored plan in all or a portion of the catchment area of the dissolved authority, as directed by DHHS (previously provided for transfer to the area authority contracted to operate the Medicaid waiver in the catchment area of the dissolved area authority only, and did not specify for the transfer to be at the direction of DHHS). Provides that when any county disengages from one area authority and realigns with another area authority, a portion of the fund balance and risk reserve of the area authority from which the county is disengaging must be transferred to the area authority with which the county is realigning, with amounts to be transferred calculated as specified, within 10 days after the date of disengagement of the county. Makes organizational changes to the provisions regarding the directive for the Secretary to guarantee operational reserves for the area authority assuming the Medicaid waiver responsibilities if the fund balance transferred does not meet a specified threshold for anticipated operational expenses, and makes the provisions effective until the date that BH IDD tailored plans begin operating. 

    Effective July 1, 2021.