NC S656

Department of Health and Human Services must submit amendments to the 1115 Medicaid Transformation waiver to CMS by July 1, 2023, allowing beneficiaries to remain in Medicaid fee-for-service (Medicaid Direct) for physical healthcare when providers are not contracted with their LME/MCO Tailored Plan network if necessary for continuity of care.

Beneficiaries may enroll in BH IDD tailored plans operating outside their home region based on differing service arrays, available services, or provider networks.

Department of Health and Human Services must report to the Joint Legislative Oversight Committee on Medicaid by August 1, 2023, with recommendations for promoting competition among local management entities/managed care organizations to foster innovation and improve beneficiary care.

Report must include copies of all State Plan amendments and documents submitted to CMS, as well as identify legislative changes needed to implement the act's requirements.

Act becomes effective upon passage into law.