North Carolina Issues Final Guidance On Nine Consumer Categories Automatically Included In The BH/IDD Medicaid Managed Care Tailored Plans

On March 18, 2019, the North Carolina Department of Health and Human Services released final policy guidance on eligibility and enrollment for the upcoming Medicaid Behavioral Health Intellectual/Developmental Disability (BH/IDD) Tailored Plans. Nine consumer populations will automatically included in the BH/IDD Tailored Plans. The Tailored Plans will be designed to meet the needs of beneficiaries with complex care needs due to I/DD or with higher intensity behavioral health needs due to serious mental illness (SMI), severe substance use disorder (SUD), or a traumatic brain injury (TBI).

This final guidance outlines the eligibility criteria for Tailored Plans . . .