December 16, 2020
NC DHHS Secretary for Medicaid Dave Richard recently spoke to the Medical Care Advisory Committee on December 11th about the commitment of the Department to move forward with Medicaid Managed Care Implementation. Richard characterized the move to managed care in Medicaid as the means to meet the larger priorities of the State, i.e. value-based care and integrated care behavioral health and physical health care services.
Here is a breakdown of the current Medicaid Managed Care Implementation timeline:
Function | Go-Live Date |
Application for Medicaid | Available now |
Information on Medicaid managed care | Available now |
Benefit package under Standard Plan | Available now |
Q and A on Medicaid | Available now |
Go-live of Website Choice Guide and NC Provider Directory | January 1, 2021 |
Go-live of Call Center and Mobile App | March 1, 2021 |
Applications due for first round of certification of Care Management Entities/AMH+ | March 1, 2021 |
Provider contracts with PHPs signed and mailed to be a part of open enrollment | February 1, 2021 |
BH/IDD Tailored Plan RFA responses due to NC DHHS | February 2, 2021 |
Open enrollment for Standard Plan (choosing a PHP and a primary care practitioner) | March 15, 2021 – May 14, 2021 |
Provider contracts with PHPs signed and mailed to be a part of auto enrollment | April 12, 2021 |
Auto enrollment (6 days) | May 15, 2021 |
Go-live of Standard Plan and Tribal Option | July 1, 2021 |
Go-live of BH/IDD Tailored Plan | July 1, 2022 |