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…
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…
May 16, 2019
Presentation
May 14, 2019
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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,…
February 28, 2019
As a part of the Medicaid 1115 waiver application, NC DHHS submitted a “Healthy Opportunities” pilot. The pilot was approved along with the Medicaid 1115 waiver. This pilot brings an exciting prospect for achieving an important aspect of whole person care because it allows for Medicaid/Health Choice reimbursement in four areas of Social Determinants of…
February 6, 2019
Now that DHHS has announced the Medicaid Managed Care Pre-Paid Health Plan Providers (PHPs) for the Standard Plan, you may be looking for details on what is required of the PHPs and how the Standard Plan will affect Behavioral and I-DD services. You are in luck, i2i Center staff have distilled down almost 500 pages of RFP…
January 31, 2019
On January 24th NC DHHS held a webinar that provided additional, point-in-time information on the planning for the BH/IDD Tailored Plans. It was explained that these are initial discussions and that there will be further detail as planning progresses. NC DHHS will continue to offer webinars and other learning opportunities as well as concept papers…