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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.

Learn more

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:

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

Additional Resources

NCMedicaidPlans.gov – For persons-supported

Frequently Asked Questions– Prepaid Health Plan (PHP) member enrollment (PDF)

NC Medicaid Transformation site

NC Medicaid Transformation 101 Webinar

News

Read the November Org Update, including:

  1. CEO Jeanne Duncan’s update on the status of Medicaid Transformation
  2. Annual Conflict of Interest Certification Campaign information
  3. Melissa Lee joins QA Team as IDD Quality Assurance Specialist
  4. DLA-20 Assessment trainings
  5. Progress on Tennessee Enabling Technology program
  6. Thoughts on recruiting and retention from HR leadership
  7. New GPS tracking devices for fleet vehicles
  8. Unit-based web pages in the works for BH
  9. …and more!

Sign up for our public email newsletter & Read past newsletters!

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Check out the new Direct Support web page!

Thomas Carter of Augusta, GA Unit Awarded 2019 DSP Relationship Award

RHA Receives 3 Year CARF Accreditation!


Ethics and Compliance Helpline

Available 24/7, 365 days/year
To report a concern:

Call 1-866-742-2428 (1-866-RHA-CHAT) OR

Submit a concern online – Click ‘submit new report’, then enter Access ID ‘RHA’