News

Medicaid Transformation

NC Design for State Funded Services under the Tailored Plan

January 14, 2020

While the implementation of managed care has been suspended as legislative action is needed to move forward, the Department continues to work on the design of Tailored Plans to serve individuals with behavioral health and intellectual disabilities in lieu of Standard Plans. In addition to managing Medicaid services, Behavioral Health I/DD Tailored Plans also will be…

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Medicaid Transformation

Policy on Medicaid Accountable Care Organizations for the Medicaid Standard Plan and Providers

This paper released on January 8th, provides details on an optional Medicaid ACO program, including ACO organizational requirements, payment parameters, total cost of care calculation and participation incentives for early adopters. PHPs and providers can form ACO arrangements as a way to promote value in Medicaid and meet the Department’s VBP targets. The Department welcomes…

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Medicaid Transformation

Policy on Value Based Payment Strategy for Medicaid Managed Care

This paper (released January 8th) describes the vision for value-based payments between Prepaid Health Plans and providers in NC Medicaid Managed Care. The Department welcomes feedback on this paper at Medicaid.Transformation@dhhs.nc.gov by Feb. 19, 2020. i2i is developing a Medicaid Transformation summary document on this information.

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Medicaid Transformation

Update on Medicaid Transformation

November 21, 2019

On November 19th, NC DHHS released a statement that Medicaid Transformation has been suspended until the budget impasse is resolved.  A few points related to the suspension: There is NO IMPACT on Medicaid beneficiaries and their services.  All services will continue to be provided as they have been. Open enrollment is also suspended.  This means…

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Legislation

New Law Makes Changes Across Health and Human Services

November 13, 2019

Governor Cooper signed a new law on November 6th that makes a myriad of changes to health and human service related areas.  S537 is now SL 2019-240 and includes many provisions that will change professional licensure, social services, and safety in State facilities and child care institutions.   While the overall theme of the bill is…

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Press Release

i2i Stakeholder Collaborative Work Results in Improving Quality of Care

November 12, 2019

The i2i Center for Integrative Health recently completed work on projects that benefit individuals, providers, managers and regulators in determining the quality of care of two important services while moving North Carolina’s behavioral and healthcare services closer to the vision for integrated, value based care for those receiving Medicaid. i2i Executive Director Mary Hooper stated,…

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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…

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Legislation

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,…

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