Adult Care Home Medicaid PCS Coverage.

SB 699 would expand Medicaid coverage for personal care services to adults living in licensed adult care homes who earn more than the standard income limit for state assistance but stay below 180-200% of the federal poverty level. It specifically targets individuals who would otherwise qualify for state-funded care but exceed income thresholds, aiming to provide alternatives to nursing home placements. The bill requires North Carolina's health department to request federal approval from CMS within 90 days, ensuring new coverage is fully offset by cost savings and meets all legal requirements. Implementation would only occur if CMS approves the request and all goals in the bill are met.