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Medicaid Transformation and Tailored Plan Updates

Posts Tagged ‘medicaid’

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…

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…

Public Policy Update – North Carolina General Assembly Update 

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 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…

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…