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PUBLIC NOTICE(SPA 21-0024)Skilled Nursing FacilitiesThe Department of Health and Human Services, Division of Health Benefits hereby provides notice of its intent to revise the Skilled Nursing Facility reimbursement section in Attachment 4.19-B of the Medicaid State Plan. This amendment will include (a) revision of the methodology used to calculate fair rental value (FRV) rate components and (b) to initiate the transition from the Point -in-Time Case Mix Index (CMI) reporting method to the Time Weighted CMI reporting methodology. This amendment will become effective October 1, 2021.The annual estimated state fiscal impact of this change is:a. SFY 2022 7,619,790b. SFY 2023 $11,647,972A copy of the proposed public notice may be viewed at the County Department of Social Services. Questions, comments and requests for copies of the proposed State Plan amendment should be directed to the Division of Health Benefits at the address listed below:Dave RichardDeputy Secretary for NC MedicaidDivision of Health Benefits2501 Mail Service CenterRaleigh, NC 27699-2501