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NC Medicaid Reform

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February 4, 2019: NC Medicaid Awards Standard Plans for NC Medicaid Transformation

On February 4th, the North Carolina Department of Health and Human Services (DHHS) announced Standard Plan awardees for the state’s Medicaid transition from an enhanced primary care case management model to a managed care model using pre-paid health plans to focus on contracting for whole person services.
Statewide Awarded Standard Plans:

  • AmeriHealth Caritas North Carolina,
  • Inc. Blue Cross and Blue Shield of North Carolina
  • UnitedHealthcare of North Carolina, Inc.
  • WellCare of North Carolina, Inc.

One Regional Awarded Standard Plan

  • Carolina Complete Health (Regions 3 and 5)

NC DHHS also announced regions 2 and 4 will be in phase 1 of rollout which will begin November 1, 2019. The remaining regions will be rolled out February 3, 2020. NC FQHCs are considered essential providers and are expected to be offered good-faith contracts with all plans.

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