NCDHHS Announces Delay in
Launch of Tailored Plans
JULY 11, 2023 – The North Carolina Department of Health and Human Services (NCDHHS) has announced a change in the timeline for the launch of NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans that were scheduled to begin on October 1.
Funding for the implementation of Tailored Plans comes through the state budget, which has not yet been finalized and passed by the General Assembly for the current fiscal year (July 2023 – June 2024). As budget negotiations continue, a revised date for Tailored Plan launch will help minimize disruptions in care for the nearly 160,000 North Carolinians who will receive services through Tailored Plans. Timeframes for related activities, including the member choice period for members’ primary care provider (PCP) selection, will also be revised.
Partners’ members will continue to receive mental health, substance use disorder, I/DD and TBI care as they do today. They will also continue to get their physical health and pharmacy services the same way they currently do. Additionally, Partners will continue to support our members with Tailored Care Management, which launched December 1, 2022.
NCDHHS is working closely with legislators and LME/MCOs to develop a revised Tailored Plan timeline and launch date, which we anticipate will be in the first half of 2024.
For more information about Partners’ Tailored Plan, visit our website.
Tailored Plan Implementation Delayed Until October 1, 2023
GASTONIA, N.C., FEBRUARY 27, 2023 – The North Carolina Department of Health and Human Services (NCDHHS) will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans (Tailored Plans) until October 1, 2023.
Tailored Plans, originally scheduled to launch April 1, 2023, will provide specialized services for individuals with significant behavioral health conditions, intellectual/developmental disabilities (I/DDs), and traumatic brain injuries (TBI) as well as physical health and pharmacy services.
Until October 1, Partners members will continue to receive their behavioral health services and I/DD and TBI supports through Partners and their physical health and pharmacy services through NC Medicaid Direct. The delayed start of Tailored Plans allows Local Management Entity/Managed Care Organizations (LME/MCOs), which will operate the Tailored Plans, more time to contract with North Carolina’s hospital systems and other providers to support member choice and continuity of care.
While the operation of Tailored Plans will begin October 1, 2023, Tailored Care Management will continue through the delay. Through Tailored Care Management, members will have a single designated care manager supported by a multidisciplinary team to provide integrated care management that addresses the member’s whole-person health needs.
More information regarding the member choice period and other key dates leading up to the October 1, 2023, launch will be shared by NCDHHS and Partners in the coming weeks.
For more information about Partners’ Tailored Plan, please visit Partners’ website.
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.