NC DHHS Sec. Mandy Cohen Explains Medicaid Transformation Waiver

NC Department of Health and Human Services Sec. Mandy Cohen, MD, MPH, offered a webinar Friday for stakeholders involved in the state’s Medicaid transformation to explain and answer questions about the recent approval of the state’s Medicaid waiver application. The Center for Medicare and Medicaid Services (CMS) approved North Carolina’s waiver on Wednesday, Oct. 24, marking the next milestone in the state’s transformation to managed care for its Medicaid program.

Sec. Cohen and Deputy Secretary Dave Richards explained that CMS approved the state’s plans to integrate physical and behavioral care as well as to offer tailored plans; a strategy to address the state’s opioid abuse epidemic and healthy opportunity pilots. These pilots, which will initially be offered in two to four of the Medicaid payer regions, will address social factors affecting health such as housing, food, transportation, employment and interpersonal safety. These are particularly innovative features of the state’s plan, making North Carolina a ‘national leader,’ according to Sec. Cohen.

Contracts will be awarded in February 2019 to four Medicaid managed care companies to offer statewide plans (eight companies currently are vying for these statewide contracts). The phase in of the new program will begin in November 2019.

Review the webinar slides.


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