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North Carolina Medicaid Division of Health Benefits (DHB) has announced that Tailored Plans (the health plans for qualifying members with mental health needs, substance use disorders, intellectual/developmental disabilities or traumatic brain injuries) will start on July 1, 2024.

On November 1, North Carolina Secretary of the Department of Health and Human Services, Kody Kinsey, released a directive that Local Management Entities / Managed Care Organizations (LME-MCOs) are consolidating from 6 to 4 entities (Partners Health Management, Alliance Health, Vaya Health, Trillium Health Resources).

The Department of Health and Human Services is delaying implementation of the Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans.  Tailored Plan launch was scheduled for October 1, 2023, but will now go forward at a date still to be determined.

To ensure nearly 150,000 people seamlessly receive care on day one, the North Carolina Department of Health and Human Services will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. The launch was scheduled for April 1 and is now targeted for Oct. 1, 2023.

This webinar series is designed to support all Medicaid providers, practice managers, quality improvement professionals, care coordinators and other leaders within your practice to help with the preparation for the launch of Tailored Plan in April of 2023. 

This webinar series is designed to support all Medicaid providers, practice managers, quality improvement professionals, care coordinators and other leaders within your practice to help you prepare for the launch of Tailored Plans in April of 2023. This monthly series will continue over the next several months to ensure that all of us are ready for launch.

Your patients who are eligible for Tailored Care Management will receive a letter between now and November 17th.

To ensure beneficiaries can seamlessly receive care on day one, the North Carolina Department of Health and Human Services (NCDHHS) will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/ Developmental Disabilities Tailored Plans (Tailored Plans) until April 1, 2023.

This webinar series is designed to support all Medicaid providers, practice managers, quality improvement professionals, care coordinators and other leaders within your practice to help you prepare for the launch of Tailored Plans in December of 2022.