Tailored Plans Delayed until October 1, 2023 NC Department of Health and Human Services (NC DHHS) announced that the new Tailored Plans under Medicaid will be delayed again, this time until October 1, 2023. Citing concerns that people would have difficulties using primary care physicians and specialty health care services (“network adequacy”) and that other…
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…
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…
Integrated Care: Why it Matters and How to Achieve it
“Integrated care” 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 “whole-person care” or “coordinated care,” but those terms don’t tell us what it is, why we want it, or how to get it. This article will…
North Carolina Public Policy Update: State Budget Passes, Tailored Plans Delayed
Medicaid Transformation Delay While the news below about the budget is very good, delays in passing a state budget coupled with the realignment of county MH/DD/SAS management among LME MCOs mean that the long-awaited Medicaid Tailored Plan rollout will be moved from July 1, 2022, to December 1, 2022. Tailored Plans are an integrated health…
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…
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 state’s plan…
Public Policy Update
Listen to our latest podcast about these policy developments. Federal Actions American Rescue Act: Congress passed an additional COVID and economic relief bill – the American Rescue Plan (ARP) – in early March. The legislation includes a number of items meant to address ongoing problems related to the pandemic including $1,400 stimulus checks for many Americans (including dependents and individuals with disabilities); an extension of unemployment benefits; additional funding…