The House Health Committee met for the first time of the long session on Tuesday, February 12, 2019.

DHHS Secretary, Mandy Cohen provided a presentation on the Medicaid Managed Care winners to the Committee. She noted that the work on moving forward started this past Monday with a meeting with the contract winners.

The 4 statewide contract winners were

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

One regional provider-led entity, Carolina Complete Health, Inc. won regions 3 and 5.

Secretary Cohen provided an overview of the evaluation and scoring process to the committee.

Regions 2 and 4 will begin in November 2019. The remaining regions will begin in February 2020.

Medicaid beneficiaries should be encouraged to keep their contact information with their local DSS offices.

Secretary Cohen noted that this is not an easy change for clinicians. However, she wanted to ensure that the process was streamlined for providers as this transformation to managed care is complex. All of the PHPs will have a standardized administrative and credentialing process. There will also be a single statewide drug formulary.

For background information and news regarding Medicaid Transformation visit the NC DHHS Medicaid Transformation web page.