North Carolina To Implement Tailored Medicaid Managed Care Plans For People With I/DD Or Behavioral Health Disorders

On November 9, 2017, the North Carolina Department of Health and Human Services (DHHS) released a concept paper outlining plans for a managed care vertical carve-out in which tailored plans (TPs) would provide integrated physical, enhanced specialty behavioral health (BH), pharmacy, and Medicaid waiver services for people with severe behavioral health disorders, people with intellectual and developmental disabilities (I/DD), and people with traumatic brain injury (TBI). The vertical carve-out TPs are part of the state’s larger goal of transitioning all Medicaid beneficiaries to full-risk, capitated managed care plans that will provide integrated physical and behavioral . . .