Are You Ready For Changes Coming This Summer?

North Carolina will launch the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans on July 1, 2024. This is an integrated health plan for individuals with behavioral health needs and intellectual/developmental disabilities (I/DDs).

NCDHHS recently consolidated the state’s Local Management Entity/Managed Care Organizations to improve access to health care services in preparation for the launch of Tailored Plans. For more information, please see the bulletin article.

Tailored Plans are integrated health plans designed specifically to serve individuals with severe mental illnesses, substance use disorders, or long-term care needs including I/DD and traumatic brain injury.

Through Tailored Care Management, Tailored Plan beneficiaries will have a single designated care manager supported by a multidisciplinary care team to provide integrated care management that addresses all of their needs including: physical health, behavioral health, I/DD, TBI, pharmacy, long-term services and supports (LTSS) and addresses their unmet health-related resource needs.

View the NC Medicaid Managed Care Provider Playbook for an overview of the consolidation for providers here.

Related Reading:

NC Medicaid Tailored Plan Update: Delay in Implementation