1115 Waiver Demonstration - North Carolina Medicaid Reform Demonstration - SUD Expenditure Authority Extension


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On September 11, 2023, North Carolina submitted an application to extend the substance use disorder (SUD) expenditure authority which is included in North Carolina's section 1115(a) demonstration titled, "North Carolina Medicaid Reform Demonstration." This component of the demonstration authorizes federal Medicaid matching funds for reimbursement of services delivered to beneficiaries residing in Institutions for Mental Diseases (IMD) with SUD. The SUD component is currently set to expire October 31, 2023, earlier than the rest of the programs authorized in the North Carolina Medicaid Reform Demonstration. This application seeks authority to continue to operate the SUD program as approved with no changes for an additional five years. The federal comment period will be open from September 26, 2023 through October 26, 2023.

Pending Application

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