Medicaid Transformation

Medicaid Transformation

Data Strategy for BH/IDD Tailored Plan Care Management

November 11, 2019

The ability to share data is one of the most important capacities that the State, payers and providers must demonstrate to thrive in the future.  To take it a little further, some would say that the care manager is at the hub of data sharing.  The care manager is responsible for assessing, monitoring and coordinating…

Medicaid Transformation

Carolina Complete Health Awarded Additional Region in Medicaid Managed Care

October 8, 2019

The North Carolina Department of Health and Human Services (DHHS) has expanded the regions awarded to Carolina Complete Health, Inc. to serve as a prepaid health plan under the state’s transition to Medicaid managed care. In addition to serving regions 3 and 5 in the state, the provider-led health plan will also serve region 4….

Medicaid Transformation

Community Support Team Service Changes Lead to Whole Person Care

September 16, 2019

Community Support Team is both a Medicaid and State-funded service definition that offers adults with mental illness and/or substance use disorders a structured team approach to increase and restore the individual’s ability to live successfully in the community.  The service definition is undergoing a rework that will fold in parts of another service definition, Transition…

Medicaid Transformation

Medicaid Transformation Delayed to Statewide Roll Out

NC DHHS announced that, due to the NC 2019 budget impasse, instead of a two-phase roll out for Medicaid managed care, the 1115 Medicaid waiver will be implemented statewide on February 1, 2020.  While that first phase of two regions may have provided the State some opportunity to resolve glitches without it having widespread impact,…

Medicaid Transformation

Hurricane Dorian Update from NC DHHS

September 5, 2019

Like you, we are hard at work preparing to support North Carolinians who may be impacted by Hurricane Dorian.  We have taken several actions to make it as easy as possible for people to access vital supports that may be needed before, during and after the storm. We would greatly appreciate if you would help…

Medicaid Transformation

Statewide Medicaid Transformation to begin February, 2020

September 3, 2019

Due to the state budget delays, NC DHHS will not be doing a two Region roll of Medicaid Transformation in November, 2019. Instead a full statewide roll out will occur on February 1, 2020. See press release from NC DHHS.

Medicaid Transformation

Medicaid Transformation Hits Milestone

July 8, 2019

June 28th marked another milestone for Medicaid Transformation when the NC Enrollment Broker website went live.  Medicaid beneficiaries can now go to to find out much more about the move to Medicaid and Health Choice managed care.  The NC Enrollment Broker is responsible for education and outreach to Medicaid and Health Choice beneficiaries on…