Medicaid Transformation

Medicaid Transformation

Policy on Value Based Payment Strategy for Medicaid Managed Care

January 14, 2020

This paper (released January 8th) describes the vision for value-based payments between Prepaid Health Plans and providers in NC Medicaid Managed Care. The Department welcomes feedback on this paper at Medicaid.Transformation@dhhs.nc.gov by Feb. 19, 2020. i2i is developing a Medicaid Transformation summary document on this information.

Medicaid Transformation

Update on Medicaid Transformation

November 21, 2019

On November 19th, NC DHHS released a statement that Medicaid Transformation has been suspended until the budget impasse is resolved.  A few points related to the suspension: There is NO IMPACT on Medicaid beneficiaries and their services.  All services will continue to be provided as they have been. Open enrollment is also suspended.  This means…

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…