December 16, 2020

Medicaid Transformation Timelines Set

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: 

FunctionGo-Live Date
Application for MedicaidAvailable now
Information on Medicaid managed careAvailable now
Benefit package under Standard Plan Available now
Q and A on MedicaidAvailable now
Go-live of Website Choice Guide and NC Provider DirectoryJanuary 1, 2021
Go-live of Call Center and Mobile AppMarch 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 enrollmentFebruary 1, 2021
BH/IDD Tailored Plan RFA responses due to NC DHHSFebruary 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 enrollmentApril 12, 2021
Auto enrollment (6 days)May 15, 2021
Go-live of Standard Plan and Tribal OptionJuly 1, 2021
Go-live of BH/IDD Tailored PlanJuly 1, 2022