authorizes a time-limited payment for trauma screenings using Proposition 56 funds

Opioid Treatment Program

The purpose of this SPA is to update the ARTS state plan pages to incorporate general updates to the program, including updates related to medication assisted treatment, defining the scope of practice for certified substance abuse counselors, including substance use disorder counseling within that scope, and guidance related to telemedicine requirements.

This amendment revises reimbursement for general hospital inpatient services.  Specifically, this SPA proposes to reduce specified payments by an additional one percent (1%).  

makes changes to implement an end of therapy reclassification methodology in the RUG IV, 48-Group model for payment of nursing facilities

 This SPA modifies Attachment 4.19-A of North Carolina’s Title XIX State Plan.  Specifically this amendment proposes to modify the language describing reimbursement to NC state border hospitals in need of inpatient services.   

proposes to change methodologies for calculating the inpatient UPL.  The state will change from a DRG methodology to a per diem methodology

modifies the methodology in which nursing facilities (NFs) receive supplemental payment through their NF upper payment limit (UPL) supplemental payment program. 

updates the durable medical equipment, prosthetics, orthotics, supplies (DMEPOS) and vision care services fee schedules

This state plan amendment updates the durable medical equipment, prosthetics, orthotics, supplies (DMEPOS) and vision care services fee schedules.