As part of the transition to NC Medicaid Managed Care, NC Medicaid has worked with stakeholders to design the Tailored Care Management model for the Behavioral Health and Intellectual/Developmental Disability (I/DD) Tailored Plan population. Tailored Care Management will launch in July of 2022 with the implementation of Behavioral Health I/DD Tailored Plans. NC Medicaid has the following updates related to Tailored Care Management.
NC Medicaid has published updated guidance on Tailored Care Management, including updates on Advanced Medical Home + (AMH+)/Care Management Agency (CMA) Certification, capacity building and rates.
Historically Underutilized Provider Supplement Added
An optional supplement for Historically Underutilized Providers (HUP) has been added to the Tailored Care Management application. This voluntary supplement to the Tailored Care Management gives organizations the opportunity to self-identify as a HUP, if applicable. This information will be used to advance health equity through the Tailored Care Management program by, for example, informing capacity building fund distribution as described in the BH I/DD Tailored Plan Capacity Building Update, and giving the Department the information necessary to ensure that the certification process is conducted in an equitable manner.
Non-Binding Statement of Interest for Potential Clinically Integrated Networks and Other Partners Added
A Statement of Interest form is now available for Clinically Integrated Networks (CINs) and other partners to denote their interest in partnering with AMH+ or CMAs for specific functions and capabilities to meet the requirements of the Tailored Care Management model. The submission of a Statement of Interest is voluntary and non-binding.
All updates can be found on the Tailored Care Management webpage.