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…


Legislated Funding Initiatives Impacting Care in NC

On October 31st, both the House and Senate adjourned with the intention of coming back into session on November 13th to consider select issues.  The biggest impact of their adjournment is that the SFY19-20 and SFY20-21 State budgets remain in limbo.  Over 130 days have passed since the new fiscal year began on July 1,…

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….


i2i Center Facilitates Creation of PRTF Dashboard

September 16, 2019

i2i Center being true to its mission to convene, strategize and activate solutions has successfully facilitated discussions among a workgroup of the seven LME/MCOs and seven partner Psychiatric Residential Treatment Facilities (PRTFs) that has led to an agreement on indicators for a PRTF dashboard and on a single assessment tool.  This effort, funded by the…

Medicaid Transformation

Community Support Team Service Changes Lead to Whole Person Care

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…


i2i Center Spearheads a Value-Based Purchasing Approach to Community Support Team

The NC Medicaid Transformation is creating a shift from typical fee-for-service (FFS) payment to more value-driven reimbursement.  Behavioral healthcare lags behind physical healthcare in this movement that emphasizes quality and outcomes over volume. To address this, i2i Center for Integrative Health has facilitated a Collaborative on Value-Based Purchasing with representatives from provider agencies, LME/MCOs and…

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…