Medicaid Managed Care Program Proposed Design

The Department of Health and Human Services (DHHS) is publishing this detailed proposed program design for Medicaid managed care because we welcome and encourage feedback from providers, health plans, elected officials, advocates, beneficiaries, and other stakeholders.

Though elements of this proposed program design will need additional statutory authority from the North Carolina General Assembly to implement, this document lays out the strongest possible program design for Medicaid managed care based on best practices in other states and building on the existing resources and infrastructure of North Carolina’s current health care system and Medicaid program.

This proposed program design seeks to advance high-value care, improves population health, engages and supports providers, and establishes a sustainable program with predictable costs. At the core of these efforts is the goal to improve the health of North Carolinians through an innovative, whole-person centered, well-coordinated system of care, which addresses both medical and non-medical drivers of health.

Feedback on the Medicaid managed care proposed program design is welcome. Please send written input by September 8, 2017, to:

• Email:  Medicaid.Transformation@dhhs.nc.gov
• U.S. Mail:
  Department of Health and Human Services
  Division of Health Benefits
  1950 Mail Service Center
  Raleigh NC 27699-1950
• Drop-off: 
  Department of Health and Human Services
  Dorothea Dix Campus, Adams Building
  101 Blair Dr., Raleigh NC

Send questions about North Carolina Medicaid transformation to Medicaid.Transformation@dhhs.nc.gov.

For more information about transformation efforts, visit ncdhhs.gov/nc-medicaid-reform.