Partners Awarded Tailored Plan Contract by NC Medicaid
GASTONIA, NC, July 26, 2021 – Partners Health Management (Partners) has been contracted to operate a North Carolina Behavioral Health and Intellectual/Developmental Disability (Behavioral Health/IDD) Tailored Plan as part of the state’s transition to Medicaid Managed Care.
Behavioral Health/IDD Tailored Plans will integrate under one health plan. physical health, mental health, intellectual/developmental disabilities, traumatic brain injury and pharmacy services for North Carolinians with the most complex needs.
“We are honored to have been selected as one of the organizations to receive a NC Behavioral Health/IDD Tailored Plan contract today. Integrating health care services for our members under one plan will allow us to further build on our mission of Improving Lives and Strengthening Communities,” said Partners CEO Rhett Melton.
Under the current system, Medicaid services for behavioral health and I/DD for individuals with complex needs are managed by Local Management Entities/Managed Care Organizations (LME/MCOs) like Partners. Currently, physical health and pharmacy services for individuals with more complex needs are managed by the North Carolina Department of Health and Human Services (DHHS) under a fee-for-service model (NC Medicaid Direct).
The Behavioral Health/IDD Tailored Plans will provide the same services as NC Medicaid Standard Plans, which launched on July 1, 2021 but will offer additional specialized services for individuals with significant more complex needs, including those using 1915(c) Home and Community-Based Services waivers and State-funded Services.
In 2020, NC Medicaid issued a Request for Applications (RFA) to all LME/MCOs. Partners submitted its response to the RFA in February and was awarded one of seven four-year contracts by the state today. NC DHHS and the federal Centers for Medicare & Medicaid (CMS) approved the contract awards.
Partners will continue to serve members with significant behavioral health disorders, I/DD and traumatic brain injuries under NC Medicaid Direct until the BH I/DD Tailored Plans launch in 2022.
Partners Health Management is a leading local managed care organization (LME/MCO), providing access to care for central and western North Carolina’s most vulnerable citizens. Partners manages all Medicaid, state and local funding for intellectual/developmental disabilities, mental health and substance use disorder (IDD/MH/SUD) services in our covered areas.
We are recognized across North Carolina for our Partners Community Model and unwavering commitment to the counties and the families we serve. Through our steadfast community focus and longstanding partnerships with local stakeholders, agencies and elected officials, our members receive the care and support they need.
For More Information:
Rachel Porter, Chief Administrative Officer