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.
Press Releases
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.
The North Carolina Department of Health and Human Services published its Olmstead Plan, designed to assist people with disabilities who receive or are eligible for publicly-funded services to reside in and experience the full benefit of being part of day-to-day life in communities alongside those without disabilities. Developed with stakeholders from across the state, the plan’s goal is to divert people from entering institutions and to support those wishing to leave.
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.
The North Carolina Department of Health and Human Services is extending open enrollment for NC Medicaid Managed Care through Friday, May 21. This extension will not impact the NC Medicaid Managed Care launch date of July 1, 2021.
The North Carolina Department of Health and Human Services is in its final week of open enrollment for NC Medicaid Managed Care. Through Friday, May 14, beneficiaries can choose a primary care provider (PCP) and a health plan for their families’ care in preparation for the launch of NC Medicaid Managed Care on July 1.
The North Carolina Department of Health and Human Services has begun mailing reminder notices to Medicaid beneficiaries that open enrollment for NC Medicaid Managed Care ends on May 14. The notices are being sent to encourage beneficiaries to choose a primary care provider and a health plan for their families’ care in preparation for the launch of NC Medicaid Managed Care on July 1.
The North Carolina Department of Health and Human Services today announced the launch of statewide open enrollment for NC Medicaid Managed Care. Beneficiaries can enroll online, by calling the NC Medicaid Managed Care Call Center at 833-870-5500 (TTY: 833-870-5588) or through the free NC Medicaid Managed Care mobile app available on Google Play or the App Store. They can also use the mail-in forms sent to them in the enrollment packet.
The North Carolina Department of Health and Human Services has begun mailing enrollment packets statewide and launched new resources for beneficiaries as it prepares for NC Medicaid Managed Care Open Enrollment which begins on Mar. 15, 2021. Beneficiaries can now call the NC Medicaid Enrollment Call Center to learn more about NC Medicaid Managed Care and can download a free beneficiary enrollment mobile app.
The North Carolina Department of Health and Human Services is pleased that yet another court ruling has affirmed the integrity and fairness of the department's Medicaid Managed Care procurement process. On Feb. 18, a Superior Court ruled in favor of NCDHHS in response to a legal challenge from one of the entities that was not awarded a contract under the state's Medicaid Managed Care procurement process.
The North Carolina Department of Health and Human Services announced today that Legal Aid of North Carolina (Legal Aid) will provide Medicaid Managed Care Ombudsman services for the state's Medicaid beneficiaries.
Governor Roy Cooper will join members of The North Carolina Council on Health Care Coverage for its third meeting today as the Council discusses options and guiding principles to expand access to health care coverage for North Carolinians.
The North Carolina Department of Health and Human Services recently received approval to use federal matching funds to expand services for the evidence-based early childhood program, Reach Out and Read.
The North Carolina Department of Health and Human Services today announced the launch of a new online portal for North Carolinians receiving or looking to apply for Medicaid. The portal provides Medicaid resources in an easy-to-use web platform and includes information about Medicaid Managed Care, set to launch July 1, 2021.