Bill > H453

This bill increases Medicaid reimbursement rates for two specific types of healthcare services in North Carolina during the 2025-2027 fiscal biennium. For personal care services (PCS), the bill appropriates $119.2 million in state funds and $217.8 million in federal funds to raise the Medicaid rate from its current level to $7.50 per 15-minute increment. This increase applies to several Medicaid programs, including Community Alternatives Programs for Children (CAP/C), Disabled Adults (CAP/DA), and Choice (CAP/CO). Additionally, the bill allocates $19.8 million in state funds and $36.2 million in federal funds to increase the Medicaid rate for private duty nursing (PDN) services to $16.25 per 15-minute increment for both beneficiaries under and over 21 years old. These rate increases aim to improve compensation for healthcare providers and potentially enhance access to personal care and private duty nursing services for Medicaid recipients. The bill is set to take effect on July 1, 2025, and will provide recurring funding for these rate increases throughout the specified fiscal biennium.

Budget and Finance

https://www.ncleg.gov/BillLookUp/2025/H453