News

Medicaid Transformation

Proposed MH/SA Access to Care Criteria Sets a Higher Standard

March 11, 2018

NC DHHS recently posted its latest Medicaid Transformation concept paper focused on the Standard Plan access to care and network adequacy standards. The paper does not outline standards for the Tailored Plan. The difference between the current access to care standards under the Medicaid (b)(c) waiver and the proposed requirements under the Standard Plan are…

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Medicaid Transformation

NC’s Plan for Addressing Social Determinants of Health

March 10, 2018

NC’s State Health Director and Chief Medical Officer for the NC Department of Health and Human Services (DHHS) Dr. Betsy Tilson recently shared with the members of the Developmental Disabilities Consortium how DHHS is working to address social determinants of health (SDOH) for Medicaid recipients. The state is looking at a multi-layered approach to tackling…

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News

DHHS to Seek Bids for Opioid Projects in Spring

March 9, 2018

NC Governor Roy Cooper announced the release of the second half of $31 million in NC Opioid Crisis Grant funds received as part of the 21st Century Cures Act will begin this Spring.  NC DHHS will conduct a competitive awards process to support community projects that advance the State’s Opioid Action Plan. In May of 2017, $15.5 million…

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News

Open Minds Survey on Value Based Reimbursement

February 23, 2018

Open Minds recently released a Performance Management Executive Survey: Where Are We On the Road to Value? It was a national survey of specialty provider organizations on their experience with value-based reimbursement (VBR). The survey results revealed that VBR arrangements are increasing, but slowly. Survey highlights: About a third of providers report participating in VBR…

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News

Family First Prevention Act Aimed at Preventing Foster Care Placement

A significant piece of legislation – the Family First Prevention Services Act (FFPSA) – aimed at preventing high-risk children from entering foster care – was included in the short-term budget bill recently passed by Congress. This legislation changes how states can use Title IV-E money, typically used for foster care payments and adoption assistance. The…

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Legislation

NC Legislation Key to Medicaid Transformation

February 9, 2018

No one would deny that there is a still lot of work to be done to move Medicaid Transformation forward. Last Fall DHHS submitted an 1115 Medicaid waiver application to CMS and provided a tentative timeframe to implement the waiver and move Medicaid, along with other public funds, to a managed system beginning in July…

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