Cross-System Navigation for Consumers with I/DD and Families in a Managed Care Environment

The Cross-Systems GPS: Guiding People & Systems initiative’s goal is to develop recommendations for the North Carolina Department of Health and Human Services (DHHS) about how individuals with I/DD and their families can best be supported to effectively navigate across various service systems (cross-system navigation) as DHHS moves toward implementation of Medicaid Transformation (managed care to improve and integrate behavioral and I/DD healthcare and physical healthcare services).

North Carolina’s existing I/DD system of navigation services will be examined, and recommendations will be made for adjustments necessary for the system to be more effective in meeting the needs of individuals with I/DD and their families. This project is a grant from the NC Council on Developmental Disabilities (NCCDD) for its Cross-System Navigation in a Managed Care Environment initiative and is a renewable multi-year grant.

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In June, i2i Center hired Kelly Friedlander, MSW, MPA, to serve as Project Director. She is currently consulting with the DD Council to ensure that the membership of the Advisory group meets grant guidelines and is preparing initial informational documents.

On September 26th, the Cross-System Advisory Group held its first meeting in Raleigh, NC from 10 am – 3 pm. The meeting began with introductions and a brief background about the i2i Center from Mary Hooper, Executive Director of the i2i Center. Next Erika Hagensen, Policy Consultant for the NCCDD, provided a State of the State presentation, providing an overview of recent happenings regarding Medicaid Transformation. Next Kelly Friedlander provided an overview of the initiative, including the goals, scope of work, and answering questions. After lunch, Barbara Brent, Director of State Policy at National Association of State Directors of Developmental Disabilities Services (NASDDDS) gave a presentation “The National Landscape: Navigating with Voice & Choice Across Systems”. During her presentation, she reviewed national trends regarding Managed Long-Term Services & Supports (MLTSS), challenges states have faced, challenges of serving people with I/DD in what has (until recently) been a medical based model, and CMS rules and regulations that are affecting states as they transition to managed care. After Ms. Brent’s discussion, the group engaged in a dialogue to outline priorities and strategies for the Advisory Group moving forward. This discussion will inform the groups effort for the next meeting.


Lead Staff

Kelly Friedlander, MSW, MPA, Project Director


NC Council on Developmental Disabilities (NCCDD)