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Press Releases

NCDHHS Extends Open Enrollment for Medicaid Beneficiaries, Announces Statewide Move to Managed Care in February

Tuesday, September 3, 2019 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: Managed care in North Carolina was scheduled to roll out in two phases, with Medicaid beneficiaries in part of the state beginning managed care services on Nov. 1, 2019 and most of the state beginning on Feb. 1, 2020. With today’s announcement managed care will now go-live in one phase for the whole state beginning on Feb.1, 2020. 

DHHS Issues Final Guidance on Eligibility, Enrollment for Behavioral Health and Intellectual Development Disability Tailored Plans in Medicaid Managed Care

Monday, March 18, 2019 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 Final Guidance document is available on the Medicaid Transformation website. 

DHHS Seeks Stakeholder Engagement on Innovative Healthy Opportunities Pilots

Tuesday, February 19, 2019 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 the delivery of health care. 

DHHS Announces Prepaid Health Plan Contracts for Medicaid Managed Care

Monday, February 4, 2019

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 Receives 1115 Waiver Approval, a Major Milestone for Medicaid and NC Health Care System

Wednesday, October 24, 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.

DHHS Provides More Ways to Avoid Disruption of NC Medicaid Services During Hurricane Florence Recovery

Friday, September 21, 2018

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.

DHHS Will Seek Flexibility for People in Medicaid to Avoid Disruptions in Care Due to Hurricane Florence

Thursday, September 13, 2018

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.

DHHS Releases Request for Proposal for Prepaid Health Plans

Thursday, August 9, 2018

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.

DHHS Awards Contract for Medicaid Managed Care Enrollment Broker Services to MAXIMUS

Friday, August 3, 2018

The NC 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

First Medicaid Scorecard Provides Insight into Areas North Carolina Can Improve

Tuesday, June 5, 2018

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.