NC Medicaid Transformation Begins TODAY

Starting  today, July 1, nearly 1.6 million Medicaid beneficiaries in North Carolina will begin receiving the same Medicaid services in a new way through NC Medicaid Managed Care health plans (see the North Carolina Department of Health and Human Services press release). Most beneficiaries will continue to get care from the same doctors they see today but will now be a member of a health plan. Some beneficiaries  will not enroll with health plans and will remain in NC Medicaid Direct.  

The North Carolina Department of Health and Human Services (NCDHHS) has leveraged the move to managed care to build an innovative health care delivery system that puts the health of beneficiaries at the forefront. Features of the state’s program include establishing a payment structure that rewards better health outcomes, integrating physical and behavioral health, and investing in non-medical interventions aimed at reducing costs and improving the health of Medicaid beneficiaries. Our goal for Day One of Medicaid Managed Care is that people get the care they need and providers get paid. 

Please see the following resources to help with the Day One transition that we encourage you to share with your partners: 

• What Beneficiaries Need to Know on Day One fact sheet – English | Spanish 
• Provider Day One Quick Reference Guide and Fact Sheet 

More information on NC Medicaid Managed Care can be found on the NC Medicaid website at medicaid.ncdhhs.gov/transformation.  

NCDHHS Webinar!

Join NCDHHS Thursday, July 8 from 2-3 p.m., to hear the latest updates on the state’s launch of NC Medicaid Managed Care. There will also be an opportunity for questions and answers. 

To register for the webinar, simply click on the link below. Feel free to share the webinar invitation and registration link with other community partners you think would be interested in attending. 

NC Medicaid’s Transition to Managed Care “After Launch”

2-3 p.m., July 8, 2021

Click here to register.

Unable to attend? NCDHHS would be happy to send you a link to the slide deck and recording of the webinar. Click the registration link, complete the registration form, and choose “I cannot attend but would like the link to the recording and slide deck”.

For more information or questions, please contact NCDHHS at Medicaid.NCEngagement@dhhs.nc.gov