NC H389

Appropriates $11.3 million in state funds for 2021-2022 and $26.2 million for 2022-2023 to increase North Carolina Innovations Waiver slots by 1,000, with matching federal funds of $27.3 million and $54.9 million respectively.

Increases waiver slots in two phases: 800 slots available January 1, 2022 using existing allocation formula, and 200 slots distributed by per capita basis to local management entities/managed care organizations and then to counties based on population, filled first-come, first-served by waiting list length.

Authorizes the Division of Health Benefits to pursue amendments, additional waivers, or a tiered waiver system to serve individuals on the state's registry of unmet needs with lower acuity levels at reduced spending caps.

Requires development of a 10-year plan by a stakeholder workgroup to address the registry of unmet needs, including alternatives to the Innovations Waiver and cost analysis of all proposed recommendations, with submission to the Joint Legislative Oversight Committee on Medicaid by February 1, 2022.