NC DHHS Takes Next Step in Medicaid Reform Process

The N.C. Department of Health and Human Services (NC DHHS) took the next step in the process to implement the state’s Medicaid reform legislation last week by submitting an amendment to the 1115 Demonstration Waiver application to the Centers for Medicare & Medicaid Services (CMS). The original application was submitted in 2016.  Read the amended waiver application. Comments on this application may be submitted through Dec. 29, 2017 by emailing them to or via US mail to Dept. of Health and Human Services, Division of Health Benefits, 1950 Mail Service Center, Raleigh NC 27699-1950. Learn more at the NCDHHS Medicaid Transformation website.

The updated application incorporates changes NC DHHS publicized in August including provisions to better integrate behavioral health and social support services with physical health services, increasing access to care in underserved communities through workforce and telehealth initiatives as well as a strategy for addressing the opioid abuse epidemic. Learn more about the amended waiver through this fact sheet.

In September 2015, the General Assembly and then-Governor Pat McCrory adopted legislation to transition the state’s Medicaid program from a fee-for-service to a managed care structure. Since then, the North Carolina Medical Society (NCMS) and other stakeholder groups have been working closely with NCDHHS to refine the program’s design and implementation.


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