June 26, 2018

Medicaid Transformation Bills Passed

The General Assembly passed two bills that work together, H. 403 and H. 156, to clarify the implementation of the Standard and BH/I-DD Tailored Plans and the licensure requirements for managers under Medicaid Transformation. In a historic move, legislators passed H. 403 that moves Medicaid recipients with mild-to-moderate behavioral health needs under the Standard Plan for Medicaid services. Individuals with a serious mental illness, a serious emotional disturbance, a severe substance use disorder, an intellectual/developmental disability, US DOJ settlement consumers, or individuals who have survived a traumatic brain injury are the defined population that will fall under the Behavioral Health/Intellectual-Developmental Disability (BH/I-DD) Tailored Plan. The BH/I-DD Tailored Plan will begin one year after the Standard Plan with the LME/MCOs as the lead plan managers working with another PHP to offer the physical healthcare services for Tailored Plan Medicaid recipients for four years after that. NC DHHS will likely publish the RFP for the Standard Plan in late August or early September. They do not need CMS approval to publish the RFP.

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