Amends GS 108A-54.1A, concerning amendments to the Medicaid State Plan, requiring amendments to the State Plan that are posted on the DHHS website to remain posted until the plan has been approved, rejected, or withdrawn. Requires any amendments to the State Plan due to changes by the General Assembly, as well as amendments to the State Plan to be submitted to the federal government to be submitted at least 90 days prior to the effective date of the change.

Enacts new subsection GS 108A-54.1A(f), requiring any public notice under 42 CFR 447.205 to be posted on the DHHS website. After the notice is posted, DHHS must notify the members of the Joint Legislative Oversight Committee on Health and Human Services as well as the Fiscal Research Division of the posting. Requires public notices to remain posted on the DHHS website.

Amends GS 108A-55(c), updating references and adding the Centers for Medicare & Medicaid Services (CMS), which was previously known as the Health Care Financing Administration (HCFA).

Deletes reporting requirements to specified committees and offices previously required for any change in reimbursement amounts. Provides that it is not the intent to remove the requirement for notices of reimbursement changes; rather, it is desired that the notices be issued pursuant to GS 108-54.1A(f).

Effective July 1, 2014, with the new notice requirements in GS 108A-54.1A(e) applying to State Plan Amendments with effective dates on or after September 1, 2014.