The North Carolina Department of Health and Human Services today announced that Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plans will launch Dec. 1, 2022, instead of July 1, 2022.
Individuals who need certain services to address a serious mental illness, serious emotional disturbance, severe substance use disorder, intellectual or developmental disability or traumatic brain injury, may be eligible to enroll in a Behavioral Health I/DD Tailored Plan. The updated implementation schedule recognizes community concerns that the COVID-19 pandemic has contributed to an increased need for behavioral health and intellectual/developmental disabilities services, which has placed added pressures at the state, Local Management Entity/Managed Care Organization (LME/MCO) and provider level. The updated implementation schedule will help balance the need to ensure a successful Tailored Plan launch with the imperative to provide current beneficiaries in the system high quality care.
NCDHHS’ goal remains to ensure a seamless and successful experience for LME/MCO beneficiaries, their families and advocates, providers and other stakeholders committed to improving the health of North Carolinians. Beneficiaries who are in NC Medicaid Direct or the Eastern Band of Cherokee Indians (EBCI) Tribal Option and receive enhanced behavioral health, intellectual or developmental disabilities or traumatic brain injury services from a current LME/MCO will continue to receive care in the same way until the Tailored Plans launch on Dec. 1, 2022. Providers will continue to prepare for the transition to Tailored Plans.
On July 26, 2021, NCDHHS announced the selection of seven organizations to serve as Behavioral I/DD Tailored Plans. For more information about Tailored Plans, see Behavioral Health I/DD Tailored Plans on the NC Medicaid website. Visit NC Medicaid Transformation to Managed Care for more North Carolina managed care activities.