Medicaid will be offering new services called 1915i services to people with intellectual and/or developmental disabilities (I/DD), including autism, as well as those with mental health issues and substance use disorders. 1915i services are replacing B3 services but unlike B3, 1915i services are an entitlement. This means that the program does not keep waiting lists…
Public Policy Update – North Carolina General Assembly UpdateĀ
State Budget Adjustments Act Introduced: The NCGA is in the process this week of passing a brief budget adjustments act, HB 103. A reminder that the state passed a two-year budget for fiscal years July 2021-June 2023 last November which included additional waiver slots, increases to wages for direct support professionals, and an increase in…
Public Policy Updates – May 2022
Services in NC Medicaid Plan NC plans to offer additional services to people with intellectual and developmental disabilities, as well as others, under (i) services plan through the Medicaid program. When Tailored Plans begin operation December 1, 2022 as part of the stateās Medicaid Transformation some of the services that LME-MCOs offered under b(3) such…
Integrated Care: Why it Matters and How to Achieve it
āIntegrated careā is a term that has begun showing up more in healthcare settings as something desired and positive. You may have also heard of it referred to as āwhole-person careā or ācoordinated care,ā but those terms donāt tell us what it is, why we want it, or how to get it. This article will…
Public Policy Update: āiā Services in 1115 Waiver May Help Those Waiting
North Carolina is in the process of seeking approval by the Centers for Medicaid and Medicare Services to add āiā home and community-based services (HCBS) under our stateās new 1115 Medicaid plan. These āiā HCBS services would offer additional supports to people with disabilities who are eligible for Medicaid. NC DHHS has requested that most…
Medicaid Transformation: Watch for Outreach on Standard Plans
The NC Department of Health and Human Services (NC DHHS) is in the process of implementing Medicaid transformation in North Carolina.Ā For people who use Medicaid as their health insurer, Standard PlansĀ went live July 1, 2021, while Behavioral Health I/DD Tailored Plans are scheduled to launch July 1, 2022. Most people with a diagnosis of autism…
Updated Information on Medicaid Transformation – August 2021
The NC Department of Health and Human Services (DHHS) is in the process of implementing Medicaid transformation in North Carolina. In this process, Medicaid recipients will have their health services transitioned from a fee-for-service model to managed care, which allows for physical and behavioral health services to be administered in one plan. Our stateās plan…
Updated Information on Medicaid Transformation
The NC Department of Health and Human Services (DHHS) is in the process of implementing Medicaid transformation in North Carolina. In this process, Medicaid recipients will have their health services transitioned from a fee-for-service model to managed care, which allows for physical and behavioral health services to be administered in one plan. Our stateās plan…