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Care Share Health Alliance

Helping communities coordinate care and other resources for underserved people through collaborative networks and models

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North Carolina Medicaid Section 1115 Demonstration Renewal Posted for Public Comment

September 1, 2023 by Erin Storie

NC Medicaid’s Section 1115 Demonstration Renewal has been posted for public comment, which includes language about the Healthy Opportunities Pilot. Please see the e-mail notice below from the Centers for Medicaid & Medicare Services about how to share public comments:

North Carolina will be requesting the Centers for Medicare & Medicaid Services renew the NC Medicaid Section 1115 Demonstration Waiver for a second five-year period, from Nov. 1, 2024 through Oct. 31, 2029. The Demonstration Waiver application has been posted for public comment through September 20, 2023. 

The Demonstration Waiver, initially approved in October 2018, supports the state’s goal to improve health and well-being for all North Carolinians through a whole-person, well-coordinated system of care that addresses both medical and non-medical drivers of health, while advancing health access by reducing disparities for historically marginalized populations.

Renewing the Demonstration Waiver will allow North Carolina to build on successes and continue the work of the state and its partners, in addition to requesting four new initiatives that will help drive the Department’s overall goals. North Carolina is requesting: 

·     extensions of ongoing managed care authorities;

·     expansion of and refinements to the Healthy Opportunities Pilot program; and

·     implementation of four new initiatives focused on streamlining Medicaid enrollment for children and youth; improving care for justice-involved individuals; and investing in behavioral health.

The Department knows that public input is crucial to ensuring the Demonstration Waiver will best serve the people of North Carolina. Five public hearings will be held; three will be in-person throughout the state and two will be online. These public hearings will provide an overview of the renewal application and gather comments. To ask questions about accessibility or request accommodations, please email Medicaid.NCEngagement@dhhs.nc.gov. At least two weeks’ advance notice will help us to provide seamless access.

Tuesday, Sept. 5, 2023, from 9:30-11 a.m. (in person)

Mountain Area Health Education Center (MAHEC)

Blue Ridge A & B in the Education Building

121 Hendersonville Road, Asheville, NC 28803

Wednesday, Sept. 6, 2023, from 9:30-11 a.m. (in person)

McKimmon Conference & Training Center

NC State University, 1101 Gorman Street, Raleigh, NC 27606

Wednesday, Sept. 6, 2023, from 5:30-7 p.m. 

Virtual via Microsoft Teams, join on your computer, mobile app or room device.

Click here to join the meeting 

Call in (audio only) 

+1 984-204-1487, 902948880# United States, Raleigh 

Phone Conference ID: 902 948 880#

Thursday, Sept. 7, 2023, from 2:30-4 p.m. (in person)

Greenville Convention Center

303 SW Greenville Blvd., Greenville, NC 27834

Friday, Sept. 15, 2023, from 11:30 a.m.-12:30 p.m. (during the Medical Care Advisory Committee Meeting)

Virtual via Microsoft Teams, join on your computer, mobile app or room device.

Click here to join the meeting 

Call in (audio only) 

+1 984-204-1487, 412615457#  United States, Raleigh 

Phone Conference ID: 412 615 457# 

Written comments also will be accepted by email or U.S. Mail through 5 p.m., Wednesday, Sept. 20, 2023. Please include “NC Medicaid Section 1115 Waiver” as the subject.

Email: Medicaid.NCEngagement@dhhs.nc.gov

U.S. Mail: 

North Carolina Department of Health and Human Services 

NC Medicaid Section 1115 Waiver Team 

1950 Mail Service Center 

Raleigh, NC 27699-1950

More information on the Demonstration Waiver renewal along with the draft proposed application are available on the NC Medicaid website at medicaid.ncdhhs.gov/meetings-notices/proposed-program-design/nc-section-1115-demonstration-waiver.

Filed Under: Healthy Opportunities Pilot, Medicaid Transformation, Social Drivers of Health

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Community VoicesMaking Change

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