North Carolina Medicaid Reform Demonstration

State:	North Carolina
Waiver Authority:	1115
Status:	Approved

Waiver Dates

Approval:	10/19/2018
Effective:	01/01/2019
Expiration:	12/09/2029

Supporting Documents

Approved Application(s) and Related Documents

Date	Title
06/25/2025	Monitoring Redesign Overlay Letter (PDF, 5.39 MB)
01/16/2025	Demonstration Approval (PDF, 4.24 MB)

Administrative Record

Date	Title
05/30/2025	State Letter on HOP Service and Eligibility Updates (PDF, 441.85 KB)
05/30/2025	State Letter on HOP Service and Eligibility Updates (Attachment L, Attachment M, and Attachment N) (PDF, 755.11 KB)
05/29/2025	SUD Quarterly Metrics Report (Part A) – August – October 2024 (XLSX, 598.34 KB)
05/29/2025	SUD Quarterly Report (Part B) – August – October 2024 (PDF, 3.79 MB)
04/29/2025	Quarterly Monitoring Report – November 2024 - January 2025 (PDF, 544.97 KB)
02/28/2025	SUD Annual Report (Part B) – August 2023 to July 2024 (PDF, 4.08 MB)
02/14/2025	Annual Monitoring Report - November 2023 - October 2024 (PDF, 827.84 KB)
01/16/2025	HRSN Rates Approval Letter (PDF, 864.3 KB)
01/13/2025	Demonstration Approval - HIT Programs Post-Approval Protocols (PDF, 4.18 MB)
01/07/2025	State Acceptance Letter – Extension STCs (PDF, 727.14 KB)
12/18/2024	CMS Approval – HOP Post-Approval Protocols (PDF, 4.1 MB)
12/18/2024	CMS Approved Managed Care Interim Evaluation Report (PDF, 12.69 MB)
12/10/2024	CMS Approval - Demonstration Extension (PDF, 3.18 MB)
12/09/2024	Quarterly Monitoring Report - May - July 2024 (PDF, 602.26 KB)
10/30/2024	SUD Quarterly Metrics Report (Part A) – February to April 2024 (XLSX, 571.74 KB)
10/30/2024	SUD Quarterly Report (Part B) – February to April 2024 (PDF, 3.97 MB)
10/23/2024	CMS Temporary Extension Approval (PDF, 169.59 KB)
07/26/2024	SUD Quarterly Metrics Report (Part A) – November 2023 to January 2024 (XLSX, 575.63 KB)
07/26/2024	SUD Quarterly Report (Part B) – November 2023 to January 2024 (PDF, 3.93 MB)
06/28/2024	Quarterly Monitoring Report - February - April 2024 (PDF, 534.38 KB)
05/01/2024	SUD Quarterly Metrics Report (Part A) – August to October 2023 (XLSX, 571.93 KB)
05/01/2024	SUD Quarterly Report (Part B) – August to October 2023 (PDF, 3.9 MB)
04/16/2024	CMS Approved Healthy Opportunities Pilots Interim Evaluation Report (PDF, 2.41 MB)
04/03/2024	Quarterly Monitoring Report - November 2023 - January 2024 (PDF, 549.79 KB)
03/15/2024	SUD Annual Report (Part B) – August 2022 to July 2023 (PDF, 3.87 MB)
03/15/2024	SUD Quarterly Metrics Report (Part A) – May to July 2023 (XLSX, 572.51 KB)
03/01/2024	SUD Quarterly Metrics Report (Part A) – February to April 2023 (XLSX, 572.22 KB)
03/01/2024	SUD Quarterly Report (Part B) – February to April 2023 (PDF, 3.89 MB)
02/28/2024	SUD Quarterly Metrics Report (Part A) – May to July 2024 (XLSX, 572.59 KB)
02/12/2024	Annual Monitoring Report – November 2022 – October 2023 (PDF, 672.39 KB)
12/22/2023	State Request to Modify Pending Foster Care Amendment (PDF, 180.65 KB)
12/01/2023	CMS Approved SUD Interim Evaluation Report (PDF, 12.97 MB)
11/29/2023	CMS Approval – Medicaid Expansion Conforming Change (PDF, 3.49 MB)
11/15/2023	CMS Completeness Letter (PDF, 265.31 KB)
10/31/2023	State Extension Application (PDF, 20.66 MB)	View Comments
10/20/2023	CMS Approval – Attachment G Healthy Opportunities Pilot Eligibility and Services (PDF, 449.4 KB)
10/17/2023	State Request for Medicaid Expansion Conforming Change (PDF, 253.31 KB)
09/29/2023	Quarterly Monitoring Report – May to July 2023 (PDF, 457.59 KB)
09/28/2023	CMS Approval – Attachment H Healthy Opportunities Pilot Funding Mechanics, Pathways to Value Based Payment, and Program Integrity Protocol (PDF, 504.83 KB)
09/27/2023	CMS Temporary Extension Approval – SUD Expenditure Authority (PDF, 3.53 MB)
09/14/2023	CMS Completeness Letter (PDF, 301.25 KB)
09/11/2023	State Application – SUD Expenditure Authority Extension (PDF, 23.78 MB)	View Comments
08/28/2023	CMS Approved Technical Corrections (PDF, 3.54 MB)
08/04/2023	State Acceptance Letter (PDF, 265.94 KB)
07/28/2023	SUD Quarterly Metrics Report (Part A) – November 2022 to January 2023 (XLSX, 571.43 KB)
07/28/2023	SUD Quarterly Report (Part B) – November 2022 to January 2023 (PDF, 3.85 MB)
07/07/2023	CMS Amendment Approval (PDF, 1.47 MB)
06/29/2023	CMS Incompleteness Letter (PDF, 323.69 KB)
06/29/2023	Quarterly Monitoring Report – February 2023 – April 2023 (PDF, 416.73 KB)
05/09/2023	SUD Annual Report (Part B) – May to July 2022 (PDF, 3.91 MB)
05/09/2023	SUD Quarterly Metrics Report (Part A) – May to July 2022 (XLSX, 573.12 KB)
05/01/2023	SUD Quarterly Metrics Report (Part A) – August to October 2022 (XLSX, 573.8 KB)
05/01/2023	SUD Quarterly Report (Part B) – August to October 2022 (PDF, 4.05 MB)
03/31/2023	Quarterly Monitoring Report – November 2022 – January 2023 (PDF, 477.62 KB)
03/24/2023	Healthy Opportunities Pilots Rapid Cycle Assessment (PDF, 4.84 MB)
02/06/2023	CMS Completeness Letter (PDF, 300.74 KB)
02/01/2023	Annual Monitoring Report – November 2021 – October 2022 (PDF, 792.66 KB)
01/25/2023	State Application – Foster Care Amendment (PDF, 395.9 KB)	View Comments
12/28/2022	Annual Report – November 2020 – September 2021 (PDF, 613.15 KB)
11/03/2022	CMS Amendment Approval (PDF, 4.21 MB)
10/18/2022	STC Acceptance Letter and Technical Correction Request – S-CHIP Amendment (PDF, 154.89 KB)
10/07/2022	SUD Quarterly Metrics Report (Part A) – February to April 2022 (XLSX, 564.58 KB)
10/07/2022	SUD Quarterly Report (Part B) – February to April 2022 (PDF, 3.47 MB)
09/29/2022	Quarterly Monitoring Report – May 2021 – July 2022 (PDF, 604.71 KB)
09/28/2022	CMS Approval – Attachment G, Healthy Opportunities Pilots Eligibility and Services (PDF, 535.61 KB)
09/16/2022	CMS S-CHIP Initial Demonstration Approval (PDF, 16.95 MB)
08/12/2022	SUD Quarterly Report (Part B) – November 2021 to January 2022 (PDF, 3.35 MB)
08/11/2022	SUD Quarterly Metrics Report (Part A) – November 2021 to January 2022 (XLSX, 565.45 KB)
06/29/2022	Quarterly Monitoring Report - February - April 2022 (PDF, 457.84 KB)
04/29/2022	SUD Mid-Point Assessment (PDF, 2.02 MB)
04/29/2022	SUD Quarterly Metrics Report (Part A) – August to October 2021 (XLSX, 573.49 KB)
04/29/2022	SUD Quarterly Report (Part B) – August to October 2021 (PDF, 3.49 MB)
04/01/2022	Quarterly Monitoring Report – November 2023 – January 2024 (PDF, 516.54 KB)
02/28/2022	SUD Annual Report (Part B) – May to July 2021 (PDF, 3.39 MB)
02/28/2022	SUD Quarterly Metrics Report (Part A) – May to July 2021 (XLSX, 565.9 KB)
02/22/2022	CMS Completeness Letter (PDF, 309.21 KB)
01/26/2022	State Amendment Application (PDF, 1.1 MB)	View Comments
10/28/2021	SUD Quarterly Metrics Report (Part A) – February to April 2021 (XLSX, 69.95 KB)
10/28/2021	SUD Quarterly Report (Part B) – February to April 2021 (PDF, 2.78 MB)
09/30/2021	Quarterly Monitoring Report - May 2021- July 2021 (PDF, 323.85 KB)
07/30/2021	SUD Quarterly Report (Part B) – November 2020 – January 2021 (PDF, 2.76 MB)
07/29/2021	SUD Quarterly Metrics Report (Part A) – November 2020 – January 2021 (XLSX, 721.93 KB)
06/28/2021	Quarterly Monitoring Report – February to April 2021 (PDF, 245.24 KB)
04/30/2021	SUD Quarterly Metrics Report (Part A) – May to July 2020 (XLSX, 557.29 KB)
04/30/2021	SUD Quarterly Report (Part B) – May to July 2020 (PDF, 2.78 MB)
04/01/2021	CMS Approved Monitoring Protocol (Part A) (XLSX, 65.56 KB)
04/01/2021	CMS Approved Monitoring Protocol (Part B) (PDF, 960.29 KB)
03/31/2021	SUD Quarterly Metrics Report (Part A) – August to October 2020 (XLSX, 664.09 KB)
03/31/2021	SUD Quarterly Report (Part B) – August to October 2020 (PDF, 302.23 KB)
03/31/2021	SUD Retrospective Quarterly Metrics Report (Part A) – November 2018 to July 2019 (XLSX, 1.51 MB)
03/31/2021	SUD Retrospective Quarterly Report (Part B) – November 2018 to July 2019 (PDF, 189.07 KB)
02/12/2021	CMS Letter to State (PDF, 38.64 KB)
09/30/2020	SUD Quarterly Metrics Report (Part A) – February 2020 to April 2020 (XLSX, 141.05 KB)
09/30/2020	SUD Quarterly Report (Part B) – February 2020 to April 2020 (PDF, 361.72 KB)
06/29/2020	SUD Quarterly Report (Part B) – November 2019 – January 2020 (PDF, 412.43 KB)
06/09/2020	SUD Quarterly Metrics Report (Part A) – November 2019 – January 2020 (XLSX, 142.37 KB)
04/01/2020	SUD Quarterly Metrics Report (Part A) – August to October 2019 (XLSX, 133.15 KB)
04/01/2020	SUD Quarterly Report (Part B) – August to October 2019 (PDF, 419.92 KB)
03/06/2020	CMS Approved SUD Monitoring Protocol (Alignment Form) (PDF, 101.27 KB)
01/15/2020	Approved Evaluation Design for NC Medicaid Reform Demonstration (PDF, 1 MB)
10/30/2019	CMS Approval: SUD Monitoring Metrics (XLSX, 140.48 KB)
10/30/2019	CMS Approval: SUD Monitoring Protocol (PDF, 623.16 KB)
08/15/2019	Approved Evaluation Design for NCMR ECM Pilot Program (PDF, 890.68 KB)
04/25/2019	CMS Approved Technical Corrections (PDF, 1.2 MB)
04/25/2019	SUD Implementation Plan Protocol (PDF, 800.86 KB)
11/20/2018	North Carolina Demonstration Acceptance Letter (PDF, 1.92 MB)
10/19/2018	Demonstration Approval (10/19/2018) (PDF, 2.67 MB)
12/05/2017	North Carolina Amended 1115 Demonstration Application (PDF, 7.73 MB)	View Comments
12/04/2017	North Carolina Amended 1115 Demonstration Application Completeness Letter (PDF, 110.39 KB)
06/16/2016	CMS Completeness Letter (06/16/2016) (PDF, 106.76 KB)
06/01/2016	NC 1115 Application (6/01/16) (PDF, 10.13 MB)	View Comments

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