(Map will return soon)
NCCHCA has customized a tool from NC AHEC to provide step by step guidance to our member health centers as they prepare for Medicaid managed care. Check out the NCCHCA Managed Care Toolkit: NC-AHEC Tool + NCCHCA – 2021.04.29
NCCHCA’s roadmap is based on NC AHEC’s AMH Tier Support Tool, and includes extra steps, resources and details specific to health centers.
Medicaid Managed Care transformation efforts have restarted. Standard Plans are scheduled to go live July 1, 2021, while Behavioral Health I/DD Tailored Plans are scheduled to launch July 1, 2022. Until that time, NC Medicaid will continue to operate under the current fee-for-service model administered by the Department. You can read more here also: https://medicaid.ncdhhs.gov/transformation
The “Medicaid Transformation” plan will move most of NC Medicaid’s services for adults and children into a managed care model, such that:
Table 1: NC Medicaid Eligibility Groups and Services, by status of inclusion status in Medicaid Transformation to Standard and Tailored Plans
Questions? Visit our FAQ page for additional information (member login required)!
Please note: NCCHCA is not a provider of health care services.
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