Senate Bill 780 Summary

• Department of Health and Human Services shall develop Medicaid coverage for treatment, rehabilitation, habilitation, supervision, and support services for residents of licensed supervised living facilities, with rates benchmarked to Innovations Waiver or Intermediate Care Facility rates.

• Department must create separate service definitions for two classifications of Medicaid recipients based on facility type (10A NCAC 27G .5601(c)(1) and (c)(3)) and develop corresponding services for non-Medicaid eligible individuals at comparable rates, effective no earlier than July 1, 2019.

• Local Management Entities/Managed Care Organizations must contract with all licensed supervised living facilities housing Medicaid recipients, authorize services for eligible recipients not enrolled in Innovations Waiver, and maintain current waiting lists with timely referrals when vacancies occur.

• Department shall submit State Plan amendments or waivers to Centers for Medicare and Medicaid Services by October 1, 2018, with coverage beginning June 30, 2019 or upon CMS approval, whichever is later.

• Allocates up to $640,300 in fiscal year 2018-2019 funding for new alternative services and requires reinvestment of any state funding supplanted by new Medicaid funding back into the licensed facilities.