NC Medicaid Transformation

Medicaid Transformation Update

History of Medicaid Transformation

In 2015, The North Carolina General Assembly (NCGA) established Medicaid Transformation for the following reasons: improved population health, improved coordination of care, improved access to resources that affect health, and cost reduction.

NCGA established two types of Health Plans for Medicaid recipients; Standard Plans for the largest portion of Medicaid recipients, and Tailored Plans for people with IDD, TBI, SPMI, SUD who have the need for more intense, or “tailored” services and supports.

In July 2021, the Standard Plans launched and Tailored Plans will launch April 1, 2023. Please refer to this blog post about the change in the launch date.


The Tailored Plans have been delayed and will now launch on April 1, 2023.


View our latest webinars on Tailored Plans below or by visiting our YouTube Channel.

The Arc of North Carolina will be hosting a webinar series on the Medicaid Transformation process.

These webinars will have current updates  with information you need to know.

Watch our Medicaid Transformation Webinar Series

These webinars are designed to help you better understand the transition to Tailored Plans and the launch of care management.



Letter to Medical Providers

This letter has been crafted for families to use when speaking with doctors and/or specialists who have someone in their care with intellectual/developmental disabilities. Please read this letter, download it to your computer, print it, and take it with you when you go to the doctor's office. Let them know how important it is for them to sign up for Tailored Plans in order to keep your loved one as a patient. The contact information for each Tailored Plan is included on the letter. Please reach out to us if you have any questions.

Download the Letter Here.