NC H729

Direct the Department of Health and Human Services to establish a workgroup consisting of adult care home industry representatives and stakeholders to evaluate and develop new Medicaid reimbursement options for adult care homes.

Require the workgroup to develop service definitions under managed care that include support for alternative payment models (including pay-for-performance initiatives under the State's 1115 Medicaid waiver), best practices for long-term services and supports, and efficient payment methodologies.

Mandate that DHHS submit a report on the new service definition to the Joint Legislative Oversight Committee on Health and Human Services, the Joint Legislative Oversight Committee on Medicaid and NC Health Choice, and the Fiscal Research Division no later than October 1, 2020.

Require DHHS to submit any necessary amendments to the NC Medicaid State Plan to the Centers for Medicare and Medicaid Services following the report submission to implement the new service definition.

Recognize that adult care homes have received no rate increases for State and county special assistance since 2009 and serve approximately 30,000 vulnerable senior citizens with an average age over 75 years old.