The CMS approved North Carolina’s Medicaid waiver
to transition to managed care but denied the state’s request for $45 million in federal funds to attract more doctors to treat Medicaid beneficiaries by offering a loan repayment and incentive program. The CMS said it did not have enough data to approve the request. The state can study the gaps in its provider workforce and submit a waiver request to the CMS suggesting how it would address any shortages it finds. The agency also denied the state’s request to impose work requirements and premiums on Medicaid enrollees. Both measures targeted Medicaid expansion adults, but the state never passed legislation to officially expand Medicaid.