NC Collaborative on Medicaid Transformation
Our purpose
- Connect, educate and support diverse organizations interested in or affected by Medicaid Transformation in North Carolina.
- Elevate the community and consumer voice to improve Medicaid Transformation.
- Support the implementation of Medicaid Transformation.
- Leverage expertise within Medicaid Transformation efforts.
What will you gain by being a part of this statewide effort?
- Accurate, up-to-date information related to Medicaid transformation
- A community of diverse organizations that are committed to improving the health of North Carolinians.
Ready to get involved?
- Click here to subscribe to updates from the NC Collaborative on Medicaid Transformation.
- Attend our meetings. Click here for dates, times and locations.
- Email Jalah Clayton, at jclayton@caresharehealth.org for more information.
Recent Updates
September 29, 2022
NC DHHS has announced that implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plans will be delayed until April 1, 2023 instead of December 1, 2022.
Tailored Plans, originally scheduled to launch Dec. 1, 2022, will provide the same services as Standard Plans in Medicaid Managed Care and will also provide additional specialized services for individuals with significant behavioral health conditions, Intellectual/Developmental Disabilities and traumatic brain injury.
The delayed start of Tailored Plans allows Local Management Entity/Managed Care Organizations, which will operate the Tailored Plans, more time to contract with additional providers to support member choice and to validate that data systems are working appropriately. The decision is supported by the leadership of the state’s six LME/MCOs.
While the start of Tailored Plans will be delayed, specific new services will still go live Dec. 1, 2022.
NCDHHS and LME/MCOs will support providers of Tailored Care Management to launch their services on Dec. 1. Through Tailored Care Management, eligible beneficiaries will have a single designated care manager supported by a multidisciplinary team to provide integrated care management that addresses the beneficiary’s whole-person health needs.
In addition, pending approval from the Centers for Medicare and Medicaid Services, NCDHHS will implement the 1915(i) option on Dec. 1. This program provides services to help beneficiaries remain in their homes and community-based settings through services such as Respite, Individual and Transitional Supports, Community Living and Supports, Community Transition and Supported Employment.
Beneficiaries set to receive care through the Tailored Plans will continue to receive behavioral health services and I/DD and TBI supports through their LME/MCO and physical health and pharmacy services through NC Medicaid Direct, just as they do today.
More information regarding the beneficiary choice period and other key dates leading up to the April 1, 2023, launch will be shared by NCDHHS in the coming weeks.
For more information visit NC Medicaid’s Tailored Plan website.
August 4, 2022
Since it began in January 2020, the COVID-19 federal Public Health Emergency (PHE) helped prevent NC Medicaid beneficiaries from losing their health coverage during the pandemic, even if someone’s eligibility changed. The PHE also helped health care providers keep their practices running so they could deliver care to Medicaid beneficiaries.
NC Medicaid has launched a new webpage to help provide guidance on preparing for the end of the PHE. The webpage offers information and resources including a communication toolkit for community partners who work closely with beneficiaries as we work together to ensure consistent access to care. You are encouraged to share this information with your partners and stakeholders.
Preparing for the End of the COVID-19 Federal Public Health Emergency Webpage
NC Medicaid End of COVID-19 PHE Toolkit
The federal PHE currently extends beyond Oct. 13, 2022. While we do not know when the PHE will end, NC Medicaid wants to help beneficiaries, providers and community stakeholders understand any potential impacts and steps they can take to be ready.
Upcoming Meetings
Next NC COMeT Meeting will be on Friday, November 18, 2022 – 10:00 am
Past Meetings
- November 18, 2022 – CHW Integration in Medicaid Transformation – NC Community Health Worker Association
- October 14, 2022 – Medicaid Expansion Legislative Update – Care4Carolina
- September 9, 2022 – Peletah Ministries Programs Overview & Update – Dr. Dawn Baldwin Gibson
- August 12, 2022 – Legal Aid of NC – Medicaid Appeals & Technical Team
- July 8, 2022 – Centering Health Equity Roadmap
- June 10, 2022 – Partner Updates Meeting
- May 13, 2022 – Region 4 Health Equity Council – Roshunda Ivory, DrPH, CHES
- April 8, 2022 – Healthy Opportunities Pilot Overview – Access East
- March 11, 2022 – Healthy Opportunities Food Sector Overview – Cape Fear Morgan Cooper
- February 11, 2022 – Statewide Implementation of a Referral Coordination Network of Care in NC – NCCARE360
- January 14, 2022 – Healthy Opportunities Update – NC DHHS Amanda Van Vleet & Maria Ramirez Perez
- October 8, 2021 – Operating a SDOH response network without Medicaid funding
- September 10, 2021 – Medicaid Tailored Plans – Suzanne Thompson, NC DHHS
- August 13, 2021 – Healthy Opportunities Update
- July 9, 2021 – Checking in on Medicaid Transformation
- June 18, 2021 Preparing for Launch
- May 14, 2021 – Open Enrollment Ends – What’s Next?
- April 9, 2021 – Health Equity and Medicaid Transitions – Families USA
- March 12, 2021 Medicaid Transformation Partner Updates
- February 12, 2021 from 10:00-11:00 am – Healthy Opportunities Update – Amanda Van Vleet
- January 8, 2021 – NC Medicaid Transformation Update – Michael Leighs, NC DHHS
- November 13, 2020 – Can Implementing Medicaid Managed Care Address Health Disparities? – Urban Institute
- October 9, 2020 – NC Medicaid Transformation Restart
- September 11, 2020 – NC Integrated Care for Kids
- August 14, 2020 – NC COMeT – Lessons Learned from other States – National Health Law Program
- July 10, 2020 Session Law 2020-88 (also known as the Medicaid Funding Act or SB 808)
- June 8, 2020 – Status of Medicaid Managed Care in North Carolina with NC DHHS
NC DHHS Resources
Additional Resources
Healthcare Guidebook – Developed by Care Ring, this website has medicaid transformation resources.
Addressing Health Related Social Needs Among Medicaid Beneficiaries: Mapping Cross-Sector Partnership Roles – Developed by Center for Healthcare Strategies
Click here to submit an event to the calendar.
NC COMeT will NOT meet on November 12 or December 10th. The 2022 schedule will be posted later this fall.
Recent News Items
Ready to get involved?
Join the NC Medicaid Transformation Collaborative listserv here.
Attend our meetings. Visit our Events page for dates, times and locations.
Email Jalah Clayton at jclayton@caresharehealth.org for more information.