Medicaid Transformation

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April 5, 2018 — DHHS issued a paper on its vision for LTSS under managed care, and a screening tool to determine if a person has unmet resource needs that may affect health outcomes. Comments are due April 27. See Concept Papers box below.

North Carolina's Transformation to Medicaid Managed Care

The North Carolina Department of Health and Human Services (DHHS) is dedicated to improving the health and well-being of all North Carolinians. In particular, DHHS is committed to providing accessible, comprehensive, whole person care and health services to residents covered by Medicaid and NC Health Choice. To realize these goals, the Medicaid and NC Health Choice programs will be transformed from a fee-for-service delivery model to managed care. DHHS is targeting July 1, 2019, to launch managed care; however, that date is contingent on a number of factors, including receiving approval from the federal Centers for Medicare & Medicaid Services (CMS) and ongoing work with the NC General Assembly.

Working closely with beneficiaries and their families, advocates, health care providers, health plans, community leaders, the NC General Assembly and other stakeholders, DHHS developed and submitted an amended Section 1115 demonstration waiver application on Nov. 20, 2017, to CMS.

The transformation to Medicaid managed care is the most significant change to the Medicaid program in over 40 years. To read more about this multi-year effort, click on a box below.



US Mail
Dept. of Health and Human Services, Division of Health Benefits
1950 Mail Service Center
Raleigh NC 27699-1950

Dept. of Health and Human Services, Dorothea Dix Campus
Adams Building Reception
101 Blair Drive
Raleigh NC