Consistent with federal requirements and NC Medicaid’s vision to ensure continuity of care for beneficiaries transitioning between prepaid health plans (PHPs) or service delivery systems, NC Medicaid has released the NC Department of Health and Human Services Transition of Care Policy (the TOC Policy) The draft policy was released for public comment in February 2020 and the final policy was published on Feb. 25, 2021.
Transition of care (TOC) is the process of assisting a beneficiary through the transition between health plans or between service/payment delivery systems. While NC Medicaid continues to align TOC expectations across all applicable entities, the TOC Policy applies specifically to PHPs under the NC Medicaid Standard Plan option. The TOC Policy aligns and supplements the requirements established in Request for Proposal 30-190029-DHB and subsequent amendments.
NC Medicaid will host a webinar overview of the TOC Policy on Thursday, March 11, 2021 from noon to 1 p. m. Please pre-register for the webinar.
If you have questions or comments about the TOC Policy, please email Medicaid.NCEngagement@dhhs.nc.gov.
Contact
NC Medicaid Contact Center: 888-245-0179