Medicaid Reform Update

Posted by The Arc of North Carolina

On June 1st, Department of Health and Human Services (DHHS) Secretary Brajer unveiled the state’s 1115 Waiver application, as known as “Medicaid Reform.” An 1115 Waiver, often called a demonstration waiver, a request to change how the Medicaid program is structured, delivered, and evaluated on a state-by-state basis.

North Carolina aims to move Medicaid’s physical health care system away from paying for individual services and toward improved physical outcomes. Secretary Brajer extended appreciation to a broad constituency, including families of individuals with I/DD, for sharing diverse views. The state’s response to received public comment will be included in the application. The waiver application, with a cover letter signed by Governor McCrory officially begins North Carolina’s lengthy Medicaid Reform dialogue with the Centers for Medicaid and Medicare (CMS). Many unanswered questions and opportunities to engage in the process remain. The Arc of NC, informed by our leadership in the I/DD Medical Health Home Initiative and ongoing advocacy at the state level, will keep you updated with all you need to know to use your voice and advocate for a person-centered system that improves the health outcomes of individuals with I/DD and their families.