Topics Related to NC Medicaid

This is a momentous agreement that will directly improve the health and well-being of 600,000 North Carolinians. We applaud the efforts by the General Assembly to move this forward. Medicaid expansion will be transformative for access to health care in rural areas, for better mental health and for veterans, working adults and their families. For these people, today’s agreement is life changing.

Due to a change at the federal level, the North Carolina Department of Health and Human Services will begin Medicaid beneficiary recertifications that could result in coverage termination or a reduction in benefits.

To ensure nearly 150,000 people seamlessly receive care on day one, the North Carolina Department of Health and Human Services will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. The launch was scheduled for April 1 and is now targeted for Oct. 1, 2023.

Residents in Moore County who have missed the Dec. 7 deadline to join, switch or drop a Medicare health plan or drug plan coverage due to the widespread power outage will still be able to sign up after today.

To ensure beneficiaries can seamlessly receive care on day one, the North Carolina Department of Health and Human Services will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans until April 1, 2023.

Medicaid postpartum health care coverage will be extended from 60 days to 12 months for eligible people in North Carolina beginning April 1, 2022. Medicaid will also provide 12 months of continuous postpartum coverage to eligible people who are currently pregnant or gave birth between Feb. 1, 2022, and March 31, 2022.

The North Carolina Department of Health and Human Services today announced a major milestone in its innovative Healthy Opportunities Pilot program with 10 people who are members of managed care successfully receiving a food service delivered through NC Medicaid Managed Care.

A new model led by a partnership among Duke University, UNC Health, and the NC Department of Health and Human Services is transforming how to support children’s health and well-being.

To improve the health of Medicaid beneficiaries, and to reduce costs, the North Carolina Department of Health and Human Services is building an innovative health care delivery system with a payment structure that rewards better health outcomes, integrates physical and behavioral health, and invests in non-medical interventions. The effort is part of Managed Care Transformation.

On Jan. 19, 2022, the North Carolina Court of Appeals granted a request from two insurance providers to voluntarily dismiss appeals of their suit over contracts awarded for NC Medicaid Managed Care by the North Carolina Department of Health and Human Services.