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NC S366

NC S366
Increase Medicaid PCS and PDN Rates


summary

Introduced
03/20/2025
In Committee
03/24/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 Session

Bill Summary

AN ACT TO INCREASE MEDICAID REIMBURSEMENT RATES FOR PERSONAL CARE SERVICES AND PRIVATE DUTY NURSING SERVICES.

AI Summary

This bill provides increased Medicaid reimbursement rates for personal care services (PCS) and private duty nursing (PDN) services in North Carolina during the 2025-2027 fiscal biennium. Specifically, the bill appropriates $119.2 million in state funds (matched by $217.8 million in federal funds) to raise the Medicaid rate for personal care services to $7.50 per 15-minute increment. This increase will apply to several Medicaid programs, including the State Plan Personal Care Services Program, Community Alternatives Program for Children (CAP/C), Community Alternatives Program for Disabled Adults (CAP/DA), and Community Alternatives Program Choice (CAP/CO). Additionally, the bill allocates $19.8 million in state funds (matched by $36.2 million in federal funds) to increase the Medicaid rate for private duty nursing services to $16.25 per 15-minute increment, covering services for both beneficiaries under and over 21 years of age. These rate increases aim to support healthcare providers and improve access to essential care services for Medicaid recipients. The bill will take effect on July 1, 2025.

Committee Categories

Budget and Finance

Sponsors (12)

Last Action

Re-ref Com On Appropriations/Base Budget (on 03/24/2025)

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