Children and Families Specialty Plan

NCDHHS released the revised Children and Families Specialty Plan Policy Paper on Jan. 16, 2024.

Community partners are welcome to submit policy paper feedback or questions to NCDHHS at Medicaid.NCEngagement@dhhs.nc.gov  with the following email subject line: (Attention: Child and Family Specialty Plan). 

The original North Carolina's Specialized Foster Care Plan was released in February 2021, requesting input from those who support these populations and other interested stakeholders. After reviewing recommendations, NCDHHS offers several updates to the Children and Families Specialty Plan.

About the Children and Families Specialty Plan

 The Children and Families Specialty Plan (CFSP) - a single, statewide NC Medicaid Managed Care plan that will support Medicaid-enrolled children, youth, and families served by the child welfare system in receiving seamless, integrated and coordinated health.  As a statewide entity, the CFSP, regardless of a member’s geographic location, will provide members with access to physical health, behavioral health and pharmacy services, long-term services and supports (LTSS), and Intellectual/Developmental Disabilities (I/DD) services, as well as services to address unmet health-related resource needs.

Stakeholder feedback has been instrumental in shaping CFSP design. The Department pursued multiple avenues for stakeholder engagement throughout 2021 and 2022 that has resulted in a CFSP design that will provide children, youth, and families served by the child welfare system in North Carolina with a specialized plan intended to improve near- and long-term health outcomes, increase access to health and health-related services, and strengthen and stabilize families.

Interim Plan

To ensure these children and youth are not required to make multiple transitions related to North Carolina's move to managed care, NCDHHS with input from key stakeholders, implemented an interim plan that:

  • Ensures children and youth have access to the full range of NC Medicaid services.
  • Leverages the existing NC Medicaid Direct primary care and LME/MCO behavioral health system while directly addressing challenges and mitigating problems children in foster care face today.
  • Provides access to appropriate care management and coordination support across multiple settings of care, including ensuring children and youth with high medical, behavioral or social needs should have access to a program of care management that includes the involvement of a multidisciplinary care team and the development of a written care plan.

Upcoming Stakeholder Engagement Opportunities

NCDHHS will:

  • Share details of the Children and Families Specialty Plan request for proposal not described in the policy paper.
  • Consult with stakeholders on the policy paper feedback.
  • Identify opportunities to align Children and Families Specialty Plan requirements with the Family First Prevention Services Act.
  • Explore potential changes to reach children earlier and offer services to children in foster care and their families.
Tab/Accordion Items

Webinar: North Carolina Medicaid Managed Care Transformation as of April 1, 2023: Implications for Children and Youth Served by the Child Welfare System: A Resource for DSS County Child Welfare Workers - March 23, 2023

Webinar: Transition to Tailored Care Management for Children/Youth Served by the Child Welfare System:
A Resource for County DSS and Other Stakeholders - Nov. 29, 2022

Webinar: Updates on North Carolina’s Children and Families Specialty Plan - Feb. 17, 2022

Webinar: An Update on North Carolina’s Specialized Foster Care Plan – June 4, 2021

Webinar: An Overview of North Carolina's Specialized Foster Care Plan – Feb. 11, 2021

Date Proposed Topic(s) Meeting Materials
Jan. 11, 2022 Update on North Carolina’s Specialized Foster Care Plan

Date Proposed Topic(s) Meeting Materials
April 19, 2021
  • Introduction to FC Plan Workgroup and Approach 
  • FC Plan Overview
  • Statewide Design
May 3, 2021
  • Eligibility & Enrollment
  • Benefits/Services
May 17, 2021

Care Management 

June 7, 2021

Stakeholder Brainstorm on Care Management

June 22, 2021

Care Management, cont. 

July 12, 2021

Quality and Outcomes

July 26, 2021

Provider Network 

Aug. 9, 2021

Workgroup Lookback and Next Steps 

For more information email Medicaid.NCEngagement@dhhs.nc.gov.

This page was last modified on 02/08/2024