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NC DHHS Sending Letters on Medicaid Managed Care Suspension to 900k Beneficiaries

On December 6, 2019, NC Department of Health & Human Services (DHHS) began mailing notices to over 900,000 Medicaid beneficiaries.

For now, North Carolina will not change Medicaid to Managed Care. Persons-supported will keep getting Medicaid services from the State the way they do now. Coverage will stay the same and can still go to the same provider they have now. Persons-supported DO NOT need to choose a health plan at this time.

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With Medicaid Transformation Stuck Mid-stream, DHHS Seeks to Reassure Patients, Providers

The following story is from North Carolina Health News. It covers perspectives from state, provider, persons-supported and their families from the 2019 i2i Pinehurst Conference in early December.

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Understand NC Medicaid Transformation

The most significant change to the NC Medicaid program in over 40 years!

NC Medicaid Transformation Put on Hold

NC Medicaid Transformation has been put on hold by the NC Department of Health and Human Services

As facts and timelines become more clear, we’ll work to keep the people we support and our community partners updated.

Read the NCDHHS announcement

Understanding Medicaid Transformation Website
RHA website created for persons-supported

Provider Playbook: NC Medicaid Managed Care

Overview of Medicaid Managed Care – VIDEO
Note: YouTube videos may not play on the RHA network, but link is available on a personal device

Handouts for Persons-Supported in BH

Sample Enrollment Packet

Below are items in the NC Medicaid Beneficiaries Packet beneficiaries receive.

Enrollment packets include:

Mandatory Notice – Letter explaining change, beneficiaries covered, and enrollment tips
Information Sheet – Covers steps beneficiaries should take
Enrollment Form SAMPLE – A SAMPLE enrollment form
Comparison-Chart – Shows information on the 4 different health plan options