AN ACT to ensure INCREASED awareness of school‑based health services that are reimbursable under North Carolina's Medicaid State Plan and to require the program EVALUATION division to evaluate the success of the integrated care for kids medicaid pilot program, as recommended by the north carolina Child Well‑Being Transformation Council.

The General Assembly of North Carolina enacts:

 

part i. school‑based services reimbursable under north carolina's medicaid state plan

SECTION 1.  The Department of Health and Human Services, Division of Health Benefits (DHB), shall develop and implement a plan to work with the Department of Public Instruction, local education administrative units, and local management entities/managed care organizations (LME/MCOs) to ensure increased awareness of school‑based health services, beyond Individualized Education Program (IEP) services, that are reimbursable under North Carolina's Medicaid State Plan. The plan shall include an assessment of the feasibility of enhanced rates and other mechanisms that encourage private agencies to provide school‑based health services to students who are receiving or who are eligible to receive Medicaid and NC Health Choice benefits. DHB shall submit this plan and any recommended legislative changes to implement the plan to the Joint Legislative Oversight Committee on Medicaid and NC Health Choice, the Chairs of the Senate Appropriations Committee on Health and Human Services, and the Chairs of the House of Representatives Appropriations Committee on Health and Human Services no later than August 1, 2022.

 

Part II. Integrated care for kids medicaid pilot program

SECTION 2.  The Joint Legislative Program Evaluation Oversight Committee shall revise the 2023‑2024 work plan for the Program Evaluation Division to include an evaluation of the success of the Integrated Care for Kids (InCK) Medicaid pilot program. This evaluation shall include, at a minimum, the following components:

(1)        The empirical benefits achieved thus far in implementation of the InCK Medicaid pilot program, including any benefits related to the use of telehealth.

(2)        The feasibility of expanding the InCK Medicaid pilot program.

(3)        The anticipated cost savings and requirements for expanding the pilot program.

The Program Evaluation Division shall submit its evaluation to the Joint Legislative Program Evaluation Oversight Committee no later than March 1, 2025.

SECTION 3.  This act is effective when it becomes law.