Topics Related to NC Medicaid

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.

The recently adopted North Carolina state budget includes funds to give a one-time bonus to eligible home- and community-based direct care workers and support staff who provide services to Medicaid and NC Health Choice beneficiaries. The budget also includes a provision to implement a home- and community-based direct care worker wage increase for eligible employees who provide services to Medicaid and NC Health Choice beneficiaries.

Governor Roy Cooper and North Carolina Department of Health and Human Services Secretary Mandy K. Cohen, M.D., today highlighted changes in federal law that make obtaining insurance through the federal Health Insurance Marketplace more affordable and available to more than 100,000 additional people in the state.

The North Carolina Department of Health and Human Services today announced that Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plans will launch Dec. 1, 2022, instead of July 1, 2022.

The North Carolina Department of Health and Human Services today announced the state’s five Medicaid prepaid health plans have joined NCCARE360 — the nation’s first statewide coordinated care network connecting individuals to local services and resources.

Starting July 1, nearly 1.6 million Medicaid beneficiaries in North Carolina will begin receiving the same Medicaid services in a new way through NC Medicaid Managed Care health plans. Most beneficiaries will continue to get care from the same doctors they see today but will now be a member of a health plan. Some beneficiaries will not enroll with health plans and will remain in NC Medicaid Direct.

The North Carolina Department of Health and Human Services today announced the selection of organizations to serve three regions of the state, marking a major milestone towards launching the nation’s first comprehensive program to test evidence-based, non-medical interventions designed to reduce costs and improve the health of Medicaid beneficiaries. The groundbreaking program will create a systematic approach to integrating and financing non-medical services that address housing stability, transportation access, food security and interpersonal safety into the delivery of health care.

The North Carolina Department of Health and Human Services today announced all Medicaid beneficiaries currently eligible to transition to managed care have selected or been assigned a health plan with 97% enrolled in a plan that includes their current primary care provider (PCP) in network.