Advocacy & Public Policy: State

NC Congressional Delegation Map

NC General Assembly Website

NC Transition Plan for Home and Community Based Services  The Department of Health and Human Services (DHHS) is pleased to share that the Public Notice and accompanying draft documents specific to the CMS Home and Community Based Services Final Rule dated March 17, 2014 have been posted to the DHHS website at the following address:

North Carolina Department of Health and Human Services Responds to CMS Final Rule on Home and Community Based Services

The Centers for Medicare & Medicaid Services (CMS) published a final rule for Medicaid Home and Community Based Services effective March 17, 2014. The rule allows beneficiaries access to the benefits of community living and receiving services in the most integrated setting and provides alternatives to institutions. The rule will impact all adult day centers in North Carolina receiving Medicaid home and community-based waiver services, e.g. Medicaid CAP-DA, Innovations Supports, Innovations Supported Employment.  Read more...

NC General Assembly Publishes Final Report on Overnight Respite Services

Session Law 2011-104 authorized the Department of Health and Human Services to pilot an overnight respite program in four facilities that provide adult day care and directed the Program Evaluation Division to evaluate its success. Stakeholders perceive the pilot as successful, but only one of the facilities consistently provided overnight respite. PED found the legislative mandate for the pilot and its implementation by DHHS only met two of ten recommended components of a well-designed pilot program. In addition, the legislative prohibition against using state or Medicaid funding for the pilot hindered its effectiveness. Furthermore, no organization affiliated with respite care maintains data on the need for the service. The General Assembly should allow the pilot program authorizing overnight respite at adult day care facilities to expire on June 1, 2015, and require state agencies and institutions initiating pilot projects to adhere to standards established by UNC's School of Government.  Access the report: