The NCDHHS announced a series of temporary changes to NC Medicaid to help those affected by Helene.

The North Carolina Department of Health and Human Services (NCDHHS) has announced a series of temporary changes to NC Medicaid designed to assist residents affected by Hurricane Helene. These modifications, which are effective from September 26 to October 15, 2024, aim to enhance access to health care services for those impacted.

The initiative includes measures to simplify prescription refills, facilitate necessary medical services, and expedite nursing home admissions. The effort underscores the department’s commitment to utilizing available resources to aid in recovery from the storm’s aftermath.

About the policy changes

These temporary changes allow NC Medicaid beneficiaries to refill prescriptions early, accommodating those who have relocated due to the hurricane. Health care providers can temporarily and swiftly apply to participate in NC Medicaid, ensuring the availability of medical professionals on the ground.

The need for prior authorization for medically necessary services, such as drugs and equipment, is suspended during the emergency period. Additionally, temporary support is extended to individuals with traumatic brain injuries or developmental disabilities, including the provision of services by relatives when professional support is unavailable.

For hospitalized patients, the modified policy allows hospitals in the affected counties to provide post-acute care for those unable to secure placement in skilled nursing facilities. Furthermore, the process for admitting NC Medicaid beneficiaries to nursing homes has been expedited, eliminating the requirement for a Preadmission Screening and Resident Review for those displaced by the emergency. The initiative also includes provisions for private duty nursing without prior authorization when medically necessary.

Find out more

Further details on these temporary flexibilities can be found in the NC Medicaid Bulletin issued on October 1, 2024. Individuals impacted by the storm can access mental health support through the Disaster Distress Helpline or the 988 Lifeline service.

For general information and resources related to Hurricane Helene, residents are encouraged to visit the NCDHHS and the North Carolina Department of Public Safety websites.