In this public policy update: Medicaid Tailored Plans move forward; B(3) Services transition to 1915(i); Samantha R lawsuit consent order; State releases new Olmstead Plan for 2024-2026. Medicaid Tailored Plans will move forward as the next phase of Medicaid Transformation goes into effect. North Carolina has been changing its Medicaid system for several years. The…
Innovations Waiver Up for Renewal – Public Comments Needed
The North Carolina Department of Health and Human Services has notified us that the Innovations waiver is up for renewal. In NC our Innovations (1915c) waiver is generally approved for five years. The NC 1915(c) Home and Community-Based Services Innovations Waiver’s current 5-year cycle period will expire on June 30, 2024. NC Medicaid’s goal is…
1915i Services – What Are They? Eligibility, and How to Apply
Medicaid in North Carolina is now offering new services to people with Medicaid who have an intellectual and/or developmental disability (I/DD), including autism, as well as those with mental health issues and substance use disorders. . In order to receive these services you must be enrolled in a Tailored Plan (Alliance, Vaya, Partners or Trillium). …
What is Tailored Care Management?
The Autism Society of North Carolina (ASNC) is now a provider of Tailored Care Management (TCM), a Medicaid program that officially launched across the State of North Carolina in December of 2022. Tailored Care Management (TCM) is a new Medicaid service that seeks to integrate care for individuals covered by Medicaid services managed by…
Medicaid – Will you be eligible for health care under the new expanded Medicaid program?
Starting December 1, 2023, North Carolina will expand health insurance coverage under Medicaid to people up to 138% of the federal poverty guidelines. This means more people will qualify including people who were not eligible previously. NC Medicaid covers most health services. It includes doctor visits, check-ups, emergency care, hospital services, maternity and postpartum care,…
Policy Update: State Budget Delays, Tailored Plan Delays, 1915(i) Services Authorized
Budget Process Halted; State Budget Delayed until at least August House and Senate Budget Conferees have been named to work out differences between the two versions of the state budget (H259, the Appropriations Act for 2023-2025); however, negotiations have been delayed. Legislative leaders have cited differences over both tax cuts/revenue changes and non-budget legislation, including…
Public Policy Update: Medicaid Expansion Bill Signed, House Budget Released, Make Your Voice Heard to Senate
Expansion Bill Passes, Signed by Governor: House Bill 76 Access to Healthcare Options was passed by the NC General Assembly March 23 and signed into law March 27. The bill would extend Medicaid benefits to people in the health care coverage gap, whose income is under 133% of the federal poverty levels and do not…
Public Policy Update: Governor’s Budget Released, Medicaid Expansion Bill Advances, Medicaid Services Updates
On March 15, the Governor released his budget proposal. It is quite extensive, and in this entry, we have listed some highlights of items that have an impact on many people on the autism spectrum and their families and which address our public policy priorities. Health and Human Services $126 million for 2,000 more Innovations waiver…
1915(i) Services Update: State Plan Amendment Released
Medicaid will be offering new services called 1915(i) 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. 1915(i) services will eventually replace B3 services when Tailored Plans launch in April, 2023. Unlike B3, 1915(i) services are an entitlement. This means that…