NCDHHS Delays Implementation of the NC Medicaid Managed Care Tailored Plans

To ensure nearly 150,000 people seamlessly receive care on day one, the North Carolina Department of Health and Human Services will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans.

The launch was scheduled for April 1 and is now targeted for Oct. 1, 2023.

Tailored Plans serve people with complex behavioral health conditions, Intellectual/Developmental Disabilities and traumatic brain injury. Their behavioral and physical health needs are often great, requiring ongoing care from multiple providers. Tailored plans will provide specialized services and care management to meet the needs of these individuals.

The delayed start of Tailored Plans allows Local Management Entity/Managed Care Organizations, which will operate the Tailored Plans, more time to contract with additional providers to ensure a smooth transition for people using the plans and their care providers. Until the Tailored Plans launch, people who will be covered by the Tailored Plans will continue to receive care through their existing plans. Tailored Care Management, which launched on Dec. 1, 2022, will continue to support these beneficiaries by providing a care team to coordinate care across providers.

For more information about Tailored Plans please visit NC Medicaid’s Tailored Plan website.