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
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