Removal of barbiturates, benzodiazepines and agents used to promote smoking cessation from the list of drugs a state Medicaid program may exclude from coverage.

This SPA Updates the effective dates of rates paid for Hospice services.

This SPA updates the State Plan section on third party liability to reflect recent internal changes to third party liability claims processing, including diagnosis & trauma code edits, availability of other insurance coverage, determination of correct billing and other related changes.

Kinship Guardianship Coverage.

Updates the outpatient payment methodologies for out-of-state acute hospital services.

The amendment allows North Carolina to disregard compensation payments as income, resource, and asset made to individuals from the Eugenics Asexualization and Sterilization Compensation Program.

Estate Recovery Update.

Implemented its recovery audit contractor (RAC) program and has a RAC contract in place.

Outpatient Hospital Rates.

Discontinue the Certified Public Expenditure (CPE) program for State and Non State governmental hospital facilities and to implement plan authority for an Upper Payment Limit (UPL) program for State and Non-State governmental hospitals.