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Medicaid Transformation and Tailored Plan Updates

Posts Tagged ‘autism insurance’

Medicaid Transformation and Tailored Plan Updates

For additional information about the Medicaid Transformation process in North Carolina, please visit our page of information and resources.  New timeline released for Tailored Plan rollout The start of the new Tailored Plans, integrated health Medicaid Benefit Plans for people with intellectual and/or developmental disabilities (I/DD), as well as those with significant mental health and…

The Samantha R vs. the State of North Carolina Court Decision

In February of 2020 the State was found to be in violation of the Persons with Disabilities Protection Act and that people with disabilities in North Carolina were being unnecessarily institutionalized, or were at risk for being institutionalized, due to a lack of community-based options. The decision reinforced what people with disabilities, their families and…

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 state’s Medicaid Transformation some of the services that LME-MCOs offered under b(3) such…

Access Family Navigator through Trillium Health Resources

ASNC is partnering with Trillium Health Resources for residents of Pitt, Beaufort, New Hanover, and Pender counties to provide support to individuals on Medicaid through Family Navigators. What do Family Navigators do? Family Navigators – who are all parents of loved ones with intellectual and developmental disabilities (I/DD) or traumatic brain injury (TBI) – teach…

Public Policy Update: Rate Increase to Support Wages for Direct Support Workers A First Step in Right Direction

The state budget that passed in December 2021 included funding towards increasing Medicaid home and community-based provider rates so that wages paid to direct support professionals/direct support workers can be increased. While the budget special provision language states that 15.00 per hour is the goal, there is not enough money appropriated in the budget to…

Public Policy Update: “i” 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 “i” home and community-based services (HCBS) under our state’s new 1115 Medicaid plan. These “i” 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. For people who use Medicaid as their health insurer, Standard Plans 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 state’s plan…

Public Policy Update

No progress on State Budget from House members State Budget Update: The NC House budget is now not expected until late July or early August. House budget leaders are sorting out the implications of billions in federal funding and its impact on the state budget. Some federal funding, like that for health and human services,…