GASTONIA, N.C., SEPTEMBER 29, 2022 – The North Carolina Department of Health and Human Services (NCDHHS) will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans (Tailored Plans) until April 1, 2023. The decision is unanimously supported by the leadership of the state’s six Local Management Entity/Managed Care Organizations (LME/MCOs).
Tailored Plans, originally scheduled to launch Dec. 1, 2022, will provide specialized services for individuals with significant behavioral health conditions, intellectual/developmental disabilities (I/DDs), and traumatic brain injuries (TBI), as well as physical health and pharmacy services.
Partners members who will be eligible for the Tailored Plan will continue to receive their behavioral health services and I/DD and TBI supports through Partners and their physical health and pharmacy services through NC Medicaid Direct, just as they do today.
The delayed start of Tailored Plans allows LME/MCOs, which will operate the Tailored Plans, more time to contract to expand their provider networks to support member choice and to validate that data systems are working appropriately.
For additional information and updates visit: https://medicaid.ncdhhs.gov/Behavioral-Health-IDD%20Tailored-Plans