Topics Related to NC Medicaid

Today, the North Carolina Department of Health and Human Services announced the selection of Prepaid Health Plans that will participate in Medicaid managed care when the program launches in November 2019. Contracts were awarded after careful evaluation of all responses to the Request for Proposal issued by DHHS on Aug. 9, 2018.

North Carolina today received federal approval to implement the transition to Medicaid managed care and integrate physical health, behavioral health and pharmacy benefits. Receiving approval from the Centers for Medicare; Medicaid Services (CMS) of the amended 1115 Demonstration Waiver application submitted by the North Carolina Department of Health and Human Services in 2017 is a major milestone in implementing North Carolina's Medicaid Transformation and in moving the state's health care system toward further integration and coordination.

Today, the North Carolina Department of Health and Human Services announced additional flexibilities to expand its efforts to ensure Medicaid and NC Health Choice services can be quickly delivered to those impacted by Hurricane Florence. These new flexibilities will help people in Medicaid receive care without disruption and give health care providers leeway to deliver services with fewer limits.

Today, the North Carolina Department of Health and Human Services announced broad efforts to work with federal and county partners to provide additional flexibility to people enrolled in the Medicaid program and their health care providers during and after Hurricane Florence.

Today the North Carolina Department of Health and Human Services issued a Request For Proposal (RFP) for organizations wishing to participate in Medicaid managed care as Prepaid Health Plans (PHPs) when the program launches in 2019.

The North Carolina Department of Health and Human Services today announced that it has awarded its contract for Medicaid managed care enrollment broker services to MAXIMUS, a government services provider based in Reston, Va. This is the first procurement contract award as the state prepares to move toward Medicaid managed care in North Carolina, a major milestone in the Medicaid transformation process.

The Centers of Medicare and Medicaid Services released its first-ever Medicaid Scorecard intended to advance a longer-term goal to improve understanding of Medicaid performance nationally. The North Carolina Department of Health and Human Services supports this effort and looks forward to working with CMS to improve the accuracy and comparability of the measures.

The North Carolina Department of Health and Human Services today released a policy paper with information for health care providers regarding the transition to Medicaid managed care, expected to launch in 2019.

The North Carolina Department of Health and Human Services has been approved by the Centers for Medicare & Medicaid Services to begin a pilot project in Cumberland, Durham, Johnston and Wake counties to offer rehabilitation services for adults who have suffered traumatic brain injury on or after their 22nd birthday.

The North Carolina Department of Health and Human Services’ State Center for Health Statistics has created an interactive map with a series of overlays showing social determinants of health indicators in North Carolina, including the economic, social and neighborhood, and housing and transportation status of residents across the state.