Medicaid Transformation

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May 18, 2018 -- NCDHHS has issued its latest policy paper, "Supporting Provider Transition to Medicaid Managed Care." Comments are due June 11, 2018. A webcast will be offered in June. SIGN UP BELOW

Read the latest policy papers

"Supporting Provider Transition to Medicaid Managed Care" Webcast to be Held in June

The Department is offering a webcast on the policy paper "Supporting Provider Transition to Medicaid Managed Care." Presented by the Medicaid Managed Care Transformation team, the webcast will cover topics for providers, such as:

  • Enrollment and Credentialing

  • Contracting Guidance

  • Conflict Resolution

  • Payment and Reimbursement

REGISTRATION IS REQUIRED

To register:

1. Select one webcast to attend:

Option 1: Friday, June 8, 2018 - 3:00-4:00 p.m.

Option 2: Monday, June 11, 2018 - 1:00-2:00 p.m.

Option 3: Thursday, June 14, 2018 - 3:00-4:00 p.m.

2. Fill out the form with the information you will use to enter the webcast.

3. A confirmation will be sent to you that includes the link to join the webcast on the day and time selected.

For those who cannot attend, the presentation will be posted on this website in late June.

For questions or additional information, contact Sharlene Mallette.

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.

Contact

Email: Medicaid.Transformation@dhhs.nc.gov

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

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