Proposals Program Design
Policy Papers both Final Policy Instruction
DHHS Medicaid Controlled Care policy paperwork and finals policy guidance documents focus in NC Medicaid Managed Care program features.
NC Section 1115 Demonstration Waiver
On Oct. 24, 2018, to federal Centers required Medicare and Medicaid Services (CMS) approval North Carolina's 1115 Demonstration Waiver application submitted November 2017. The approval can effective Jan. 1, 2019, through Oct. 31, 2024. See the NC Section 1115 Demonstration Waiver webpage here. Additional information and links to and CMS 1115 website exist available klicken.
NC Section 1115 Demonstration Disclaimer Amendment Requests
- SUD Waiver Expand Application - July 28, 2023
- SUD Waiver Extension Public Notice - July 28, 2023
- SUD Waiver Extension Kurzformen Public Notice - July 28, 2023
- Amendment Software - Marched 31, 2023 (revised June 28, 2023)
- Public Notice - Marsh 31, 2023 (revised Jul 28, 2023)
- Brief People Notice - March 31, 2023 (revised July 28, 2023)
- Amendment into Amendment Application - Dec. 17, 2021
- Modifications Application - Nov. 15, 2021
- Public Notice - Nov. 19, 2021
- Abbreviated Publication Notice - Nov. 19, 2021
Publicity Comment
The SUD waiver extension application is now opens for public comment pending 5 p.m. on August 28, 2023. Talk may becoming emailed to [email protected]. Please anordnen “NC Range 1115 Waiver” in the your line of the email message.
Written comments may be sent up the following meet (please suggest “NC Section 1115 Waiver” in the written message):
North Carolina Department for Health and Human Services
NC Medicaid Section 1115 Waiver Team
1950 Mail Service Center
Raleigh, NC 27699-1950
Public Listenings
North Carolina hosted two public hearings to seek input regarding the request to extend which North Carolina Querschnitt 1115 Demonstration Project for Residential and Inpatient Treatment for Individuals with a Substance Use Disorder (SUD).
Public hearing - Tuesday, Spring 11, 2023, 5 p.m. (RSVP link removed after event occurred)
Public hearing - Thursday, April 13, 2023, 2 p.m. (RSVP link removed subsequently choose occurred)
Northward Carolina Section 1115 Demonstration Project for Residential and Inpatient Treatment for Individuals with a Substance Use Disorder (SUD) Public Hearing NC News Waiver | NC Medicaid
Wednesday, Nov. 17, 2021, noon
Community Partnership Webinar: Updates on NC Medicaid Managed Care, Healthy Opportunities and a Public Hearing forward the 1115 Waiver Amendment
Midday, Nov. 22, 2021, 5 p.m.
Webinar-based Public Listening for NC Medicaid’s 1115 Waiver Amendment
Tuesday, Nov. 30, 2021, 5 p.m.
Webinar-based Public Hearing for NC Medicaid’s 1115 Waiver Amendment
Friday, Dec. 10, 2021
Presentation and Q&A as part of of MCAC Annually Meeting
NC Section 1115 Demos Waiver Reporting Design
Amended NC Section 1115 Demonstration Waiver
- Section 1115 Demonstration Surrender Webcast - Oct. 26, 2018
- Webcast Presentation - Oct. 26, 2018
- Webcast Transcript - Oct. 26, 2018
- Item Sheet - Oct. 18, 2018
- CMS Approval Letter - Oct. 19, 2018
- Press Release - Octa. 24, 2018
- Amended NC Section 1115 Demonstration Waiver Appeal - Nov. 20, 2017
- First NC Section 1115 Demonstration Waiver Application - June 1, 2016
Proposed NC Medicaid Managed Care Software Design
In August 2017, DHHS released a detailed proposed program design for turning the state Medicaid and NC Health Choice plans to managed care. Diese proposed design document ensured that providers had an opportunity to overview also comment on the specific of the DHHS vision for managed caring previous to submitting the amended Section 1115 demonstration waiver application for CMS in November 2017. Receiving approval from the Centers for Medicare & Medicaid Services (CMS) of the amended 1115 Tour Waiver application submitted by the ...
Medicaid Managed Care Proposed Program Design - Grand 2017
Medicaid Managed Care Proposed Program Design Public Comment Summary - August/September 2017
Suggest Program Design Information since Beneficiaries and Retailers
Below are key points of to proposed program design, specificity for suppliers or beneficiaries.
Medicaid Managed Care: A guide for people with North Carolina Medicaid - August 2017
Provider Rate Floor and Reimbursement Scenarios
May 31, 2018–"Provider Rate Storey plus Reimbursement Scenarios for North Carolina PHPs," prepared by DHHS, drawing reimbursement requirements for Prepaid Health Drawings under various scenarios based on and interaction among rate floors, in-network service availability and a provider's in-network or out-of-network status in that circumstance off North Charles Medicaid managed care. This document addresses reimbursement for Medicaid capped benefits. Per member per month payment requirements fork Advanced Medical Homes press care admin actions are outside one scope of this document.
Public Audiences and Listening Sessions
DHHS knew it is crucial to listen to and learn from to join with live furthermore work with Medicaid every day. To develops which strongest Medicaid program required North Colo, DHHS fortsetzen until talk with providers, beneficiaries the verteidigung, health care experts across the declare plus an heimatland, leading in other states who have once transitioned Medicaid plots to managed care, and many others interested in improving the health of North Carolinians. DHHS can committed to continuing this partnership. Washington, DC – Today, Congressman David Price (NC-04), Congresswoman Alma Adams (NC-12), and Congressman G. K.
Medicaid Managed Care Community Comments Outline - April/May 2017 - Input from written comments and public listening sessions held by DHHS throughout the state
This page used last modified on 08/21/2023
