Thread by @rosehoban

At #NCGA #Medicaid committee, hearing from @ncdhhs that Medicaid enrollment continues to grow. Nonetheless, because of increased federal matching rate, the program finished FY 21-22 w a surplus.

@ncdhhs Lambeth: In other words, feds changed criteria, they also changed formula. Number eligible went up (many in low cost categories). At some point, we'll be left holding the bag.

Sen Hise notes there will be a "cliff at the end" will create a gap for us into the coming year.

@ncdhhs #Medicaid head Dave Richard says that's part of why @ncdhhs believes the feds will push out the end of the public health emergency to give states time to plan, adjust. Admits there will be a cliff at the end. #NCGA

@ncdhhs We have 12 months to pull people off rolls who were added during #pandemic. If we expand #medicaid, if we have some time to cushion the blow with new hospital assessments, etc.

@ncdhhs THis past year's budget compared to the current year's budget.
Some increases: inflation, rate increases, policy changes, continued increased enrollment. But if #medicaidexpansion happened, it'd have a positive effect

@ncdhhs Hise: any sense on the DOJ settlement? How are we complying with the number of people being served outside of assisted living facilities, etc.
Richard: COVID slowed us down. We've had significant impact, but there are some people still. Also, housing is a challenge.

@ncdhhs Perry recap: Kudos to @ncdhhs re: 9 yrs of #medicaid in surplus.

Notes that when it comes to PCS rates, that's an obligation, not an option.