April 30, 2021
NC DHHS has just released some helpful information for individuals receiving Medicaid that will be affected by the transition to managed care July 1 to help them understand whether or not they need to choose a new Health Plan right now – Do I need to Choose a Health Plan Fact Sheet The Fact Sheet…
Read moreMarch 23, 2021
Moving to Medicaid managed care has been a roller coaster ride in North Carolina. There have been budget impasses, postponements and lawsuits. All of those challenges seem to have been overcome. The money has been appropriated to get started. Standard Plan members are currently in an open enrollment period to choose their Prepaid Health Plans…
Read moreThe care management function under the BH/IDD Tailored Plan (Tailored Plan) appears to be evolving. The care management function under the Standard Plan and BH/IDD Tailored Plan have significant differences in requirements based on the needs of the members of these plans. An initial difference is that an Advanced Medical Home under the Standard Plan…
Read moreIf you are a consumer or family member, perhaps the most important aspect of this transformation is assurances that moves between plans, providers and emergency services will not be disruptive. The Transition of Care policy that NC DHHS has published covers the responsibilities of the Prepaid Health Plans (PHPs) in these circumstances: when a Medicaid…
Read moreTwo bills have been signed into law that allocate federal COVID-19 funding and appropriate additional funding to address the pandemic in communities. The most recent bill, SL 2021-3: 2021 COVID-19 Response and Relief was signed into law by the Governor on March 11th. Some of the provisions include: For the Community Mental Health Block Grant:…
Read moreBased on feedback already received, NC DHHS has postponed the Foster Care Specialty Plan (FC Plan) implementation from July 1, 2022 until July 1, 2023. The Department will establish a Foster Care Plan Workgroup that will support the development of an interim and long-term plan for children in foster care. Interested individuals/groups should notify the…
Read moreCongress passed the HR 1319, the American Rescue Plan Act of 2021, and it did include funding for mental health and substance use disorder services as well as home and community based services. Some of the largest allocations for BH/IDD in the American Rescue Plan include: • $1,500,000,000 in funding for block grants for community…
Read moreThe Opening Plenary keynote for the Spring Conference will be Allison Hamblin, MSPH, President and CEO of the Center for Health Care Strategies (CHCS). She will be discussing national trends and innovations in Medicaid behavioral health and healthcare, the progress of integrated care, the role of value based care and serving individuals with complex needs….
Read more