Medicaid Transformation

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…

Medicaid Transformation

More Detail Released on Care Management in the Tailored Plans

June 5, 2019

NC DHHS has published a concept paper putting more detail into the concept of care management for those individuals who qualify for the Behavioral Health/Intellectual-Developmental Disability (BH/IDD) Tailored Plan.  Unlike the Standard Plan, every Medicaid beneficiary who is in a BH/IDD Tailored Plan will be assigned a care manager, with limited exceptions.  The care management…


Senate Budget Analysis

The Senate introduced and passed their budget proposal in the same week, just as the House did earlier this month.  That moves the budget ahead to a conference committee, yet to be appointed, and made up of House and Senate members, where the differences between the two budgets will be reconciled.  When you review the…

Medicaid Transformation

BH/IDD Tailored Plan Eligibility and Enrollment

April 30, 2019

NC DHHS published a “Final Guidance” paper entitled, “BH/IDD Tailored Plan Eligibility and Enrollment”.  Final guidance may reference that NC DHHS will not seek any more feedback on the policy, although it is qualified that NC DHHS has the right to amend the policy in the future.  This paper accompanies the November 2017 concept paper,…