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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.

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