A BILL TO BE ENTITLED
AN ACT to increase north carolina innovations waiver slots.
The General Assembly of North Carolina enacts:
SECTION 1.(a)  The Department of Health and Human Services, Division of Health Benefits, shall amend the North Carolina Innovations waiver to increase the number of slots available under the waiver by a maximum of 500 slots. These additional slots shall be made available on January 1, 2020, or upon approval by the Centers for Medicare and Medicaid Services, whichever is later.
SECTION 1.(b)  Of the slots made available under this section, 125 of the slots shall be reserved capacity slots to be distributed using the allocation formula currently in place as of the effective date of this section.
SECTION 1.(c)  The Division of Health Benefits (DHB) shall distribute the remaining slots made available under this section to the local management entities/managed care organizations (LME/MCOs) based on a per capita basis, calculated as the number of slots multiplied by the population in each LME/MCO's catchment area divided by the population of the State. Once distributed to each LME/MCO, the additional slots shall be made available to the counties on a per capita basis, calculated as the number of slots multiplied by the population of the county divided by the population in the LME/MCO's catchment area. Within each county, the slots shall be filled on a first‑come, first‑served basis determined by the length of time an individual has been on the waiting list.
SECTION 1.(d)  There is appropriated from the General Fund to the Department of Health and Human Services, Division of Health Benefits, the sum of five million four hundred thirty‑five thousand one hundred dollars ($5,435,100) in recurring funds for the 2019‑2020 fiscal year and the sum of ten million eight hundred seventy thousand two hundred dollars ($10,870,200) in recurring funds for the 2020‑2021 fiscal year to be used to fund these additional slots.
SECTION 2.  This act is effective July 1, 2019.