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Press Releases

Legislators Adjourn Without Taking Actions Required for Medicaid Managed Care; DHHS Suspends Implementation of Managed Care

Tuesday, November 19, 2019

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.

Early Childhood Data Available for all NC Counties

Tuesday, November 12, 2019

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.

Carolina Complete Health Awarded Additional Region in Medicaid Managed Care

Tuesday, October 8, 2019

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.

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.