Updates the methodology for establishing reimbursement rates for non-institutional services.

This state plan amendment allows North Carolina Medicaid to increase rates for Child/Adolescent Day Treatment, Community Support Team, High-Risk Intervention, Partial Hospitalization, Peer Support Services, Psychosocial Rehabilitation, Substance Abuse
Intensive Outpatient Treatment, and Substance Abuse Comprehensive Outpatient Treatment, as proposed in the HCBS Spending Plan.

Implemented an addon rate for NF ventilator services.

Updates language regarding Indirect Graduate Medical Education payments within the Outpatient Hospital Reimbursement Methodology.

This amendment seeks an exception to the Recovery Audit Contractors (RAC) requirements for one (1) year from the approval date.  This allows the state to procure a new, competitively bid RAC contract that complies with current state and federal laws and regulations.

CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to permit flexibility regarding preparation of eligibility applications in - person by caseworkers employed by the State of Maryland and navigators.

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to disregard resource income for ABD groups during the Public Health Emergency (PHE) and to waive any signature requirements for the dispensing of drugs, to permit provision of a 14-day emergency supply, instead of a 72-hour emergency supply of prescribed drug, and to waive of prior authorization requirements for non-preferred drugs.

This amendment was submitted in order to update the Private Duty Nursing rates.