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Questionnaire NameNorth Carolina Amended 1115 Demonstration Application
DescriptionNorth Carolina is amending their 5-year section 1115 demonstration application previously submitted on June 1, 2016. The amended application requests to implement managed care transformation for Medicaid beneficiaries including incorporating tailored plans for some populations. Additional proposed programs under the amended application include the development of a substance use disorder program, expansion of the provider loan repayment program, building a behavioral health home care program, and piloting new programs such as telemedicine and regional resource management for unmet needs. The federal comment period will be open from December 5, 2017 through January 5, 2018.
Response FromID: #312277 on Jan 2nd 2018 1:01 pm
North Carolina Amended 1115 Demonstration Application

North Carolina Amended 1115 Demonstration Application

We encourage the public to submit their comments on Medicaid.gov as they relate to demonstrations open for public comments. In support of transparency and open government, all public comments received are immediately posted and are in the public domain. Center for Medicaid and CHIP Services staff will review all public comments posted and we reserve the discretion to delete comments that are generally understood as any of the following: obscene, profane, threatening, or otherwise inappropriate.

Refer to the Application

Open for Public Comment – 12/05/17 – 01/05/18

Please provide your comments here and/or attach below:

The proposed Carolina Cares program would allow expansion of eligibility for Medicaid to North Carolinians up to 133% of poverty who meet certain eligibility requirements, such as employment (unless they are exempt by virtue of medical frailty, under treatment for substance abuse or caring for a minor child). There is no logical reason why this program could not in fact be extended to individuals and families over 133% who were able to pay for premiums. In fact, given enabling legislation, it is logically possible for the state to offer subsidies on a sliding scale to such individuals and families to make insurance premiums affordable for all. Under the ACA, such premium support could be reimbursable up to 90% by federal dollars. In effect, such a provision would essentially make health insurance available to every legal resident of North Carolina.
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