| 12 | 13 | | A BILL TO BE ENTITLED 1 |
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| 13 | 14 | | AN ACT TO REQUIRE TEAM -BASED CARE COORDINATION IN MEDICAID 2 |
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| 14 | 15 | | SUBSTANCE USE TREATMENT AND MODIFY THE MEDICAID PROGRAM TO 3 |
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| 15 | 16 | | SUSPEND RATHER THAN TERMINATE MEDICAID ELIGIBILITY FOR 4 |
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| 16 | 17 | | INCARCERATED INDIVIDUALS . 5 |
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| 17 | 18 | | The General Assembly of North Carolina enacts: 6 |
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| 18 | 19 | | SECTION 1.(a) The Department of Health and Human Services, Division of Health 7 |
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| 19 | 20 | | Benefits (DHB), is directed, in coordination with a working group of stakeholders established by 8 |
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| 20 | 21 | | DHB, to develop a team-based care coordination Medicaid service that includes, at a minimum, 9 |
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| 21 | 22 | | screening for alcohol use disorder, opioid use disorder, and other mild to moderate substance use 10 |
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| 22 | 23 | | disorders; prescription medications for opioid use disorder and alcohol use disorder; recovery 11 |
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| 23 | 24 | | support; and case management. 12 |
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| 24 | 25 | | SECTION 1.(b) No later that October 1, 2025, the Department of Health and Human 13 |
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| 25 | 26 | | Services, Division of Health Benefits, shall submit a report to the Joint Legislative Oversight 14 |
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| 26 | 27 | | Committee on Medicaid and the Fiscal Research Division containing details on the new Medicaid 15 |
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| 27 | 28 | | service developed in accordance with this section. The report shall include all of the following: 16 |
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| 28 | 29 | | (1) The State share of the cost of the service. 17 |
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| 29 | 30 | | (2) The intended start date for the coverage of the service. 18 |
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| 30 | 31 | | (3) The types of PHP capitated contracts that will cover the service and any 19 |
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| 31 | 32 | | related proposed statutory changes to Article 4 of Chapter 108D of the General 20 |
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| 32 | 33 | | Statutes. 21 |
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| 33 | 34 | | SECTION 1.(c) The Department of Health and Human Services, Division of Health 22 |
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| 34 | 35 | | Benefits, is directed to develop a Statewide campaign to (i) educate healthcare providers and 23 |
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| 35 | 36 | | community leaders about any changes made to the Medicaid program related to the treatment of 24 |
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| 36 | 37 | | alcohol use disorder, opioid use disorder, and other mild to moderate substance use disorders; 25 |
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| 37 | 38 | | (ii) train interested providers in clinical care for alcohol use disorder, opioid use disorder, and 26 |
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| 38 | 39 | | other mild to moderate substance use disorders; and (iii) encourage substance use disorder 27 |
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| 39 | 40 | | provider participation in the Medicaid program. 28 |
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| 40 | 41 | | SECTION 2. As required by the federal Consolidated Appropriations Act, 2024, 29 |
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| 41 | 42 | | Public Law 118-42, the Department of Health and Human Services, Division of Health Benefits, 30 |
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| 42 | 43 | | shall update relevant Medicaid policy and, as necessary, the Medicaid State Plan to suspend, 31 |
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| 43 | 44 | | rather than terminate, Medicaid coverage upon a Medicaid recipient's incarceration. To facilitate 32 |
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| 44 | 45 | | implementation of the updated policy before the required federal deadline and potentially as early 33 |
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| 45 | 46 | | as July 1, 2025, the North Carolina Department of Health and Human Services and the North 34 |
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| 46 | 47 | | Carolina Department of Adult Corrections shall enter into a memorandum of understanding to 35 |
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