Bill Summary for S 567 (2025-2026)
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Summary date:
Mar 27 2025
Bill Information:
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.
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Bill summary
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.