NC Medicaid Transformation

Medicaid Transformation Update

Important Medicaid Information

NC Medicaid Transformation

On March 15, 2021, the North Carolina Department of Health and Human Services began the rollout of NC Medicaid Managed Care. The enrollment period for the STANDARD PLAN will last until May 15,2021.

The state will use large insurance companies, called health plans, to help manage some Medicaid funded health and medical services for many people. This is a change that was put in place by the North Carolina legislature so the state can have better control over Medicaid costs, and try to help improve people’s health.

What does this mean for you?

Most persons with intellectual / developmental disabilities will be enrolled into the TAILORED PLAN which will not be implemented until July 2022.

If you enroll in the STANDARD PLAN, you have a choice in which company, or health plan, manages your Medicaid services. Remember, this is only about your medical services right now. This is not about any support services you receive from The Arc of North Carolina or any other organization that helps you live in the community. If you are receiving community support services now you don’t need to do anything. Your services will stay the same and your Medicaid benefits, your doctor, and medical services will not change.

Please be aware that if you are currently receiving community-based services from The Arc of North Carolina or any other organization and you choose to move to one of the health plans described in the letter, you will LOSE all of your current services. This will happen because those insurance companies, or health plans, will only manage medical services, and they will NOT have funds for the services you are receiving now.

When you have questions about these changes, please call us. You can also call the North Carolina Medicaid Enrollment Call Center to help answer these questions and guide people through the process of enrolling in the Standard Plan. The enrollment center can be reached at 1-833-870-5500.

You can also contact The Arc of North Carolina with questions about Medicaid Transformation. We can be reached at 1-800-662-8706 or info@arcnc.org .