February 2, 2021
NC DHHS announced that they have awarded the Ombudsman contract for Medicaid managed care to Legal Aid of North Carolina. The Ombudsman role is a federally mandated component of the 1115 Medicaid waiver that gives NC the authority to move forward with integrated Medicaid managed care.
In 2018, i2i wrote about the ombudsman in 2018 as a role in managed care that is specifically positioned to provide the most objective assistance to Medicaid beneficiaries and their legal representatives in areas such as: obtaining information they need, getting answers to questions or problems resolved in a timely and efficient manner, and, when necessary, equipping Medicaid beneficiaries to effectively advocate for themselves through the grievance and appeals system. Legal Aid of NC will partner with Charlotte Center for Legal Advocacy and Pisgah Legal Services to fulfill the Ombudsman responsibilities.