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…
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…
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,…
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…
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.
July 9, 2019
The Governor vetoed the budget with concerns that it did not include Medicaid expansion. It is unclear whether the House has the votes to override the veto. If the veto remains in place, their will need to be budget revision. As of July 1, the state is running on the current budget until the new…
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 ncmedicaidplans.gov 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…
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…