Topics Related to NC Medicaid

The North Carolina Department of Health and Human Services today announced that because the NC General Assembly did not take needed action, managed care implementation and open enrollment for NC Medicaid must be suspended. The General Assembly adjourned last week without providing required new spending and program authority for the transition to managed care. Managed care will not go live on Feb. 1, 2020.
The NC Department of Health and Human Services has released county data for the 10 goals and more than 50 measures that are part of the state's Early Childhood Action Plan. These new data reports are available for all 100 counties and cover issues such as infant mortality, food and housing security, emergency room visits, child health, foster care, early learning and early literacy.
The North Carolina Department of Health and Human Services has expanded the regions awarded to Carolina Complete Health Inc. to serve as a prepaid health plan under the state's transition to Medicaid managed care. In addition to serving regions 3 and 5 in the state, the provider-led health plan will also serve region 4.

The Department of Health and Human Services (DHHS) announced today that it will extend open enrollment for Medicaid beneficiaries and move to a statewide transition to managed care on February 1, 2020.

DHHS shared the following announcement:

The North Carolina Department of Health and Human Services today released guidance detailing the eligibility requirements and enrollment processes for Behavioral Health and Intellectual/Developmental Disability Tailored Plans as a part of the Department’s transition to integrated managed care.

The North Carolina Department of Health and Human Services released a policy paper and a Request for Information (RFI) to invite feedback on the Healthy Opportunities Pilots — a groundbreaking program that will test and evaluate the impact of integrating evidence-based, non-medical services into

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.