Transition of 1915(b)(3) Services to 1915(i) Authority Behavioral health services to transition to Tailored Plans in December 2022
With NC Medicaid’s transformation to managed care, the North Carolina Department of Health and Human Services (NCDHHS) will continue to offer to Medicaid beneficiaries a comprehensive array of behavioral health, intellectual/developmental disability (I/DD) and traumatic brain injury (TBI) services.
In previous guidance, including the Behavioral Health and Intellectual/Development Disability Tailored Plan Final Policy Guidance and Behavioral Health and Intellectual/Development Disability Tailored Plan Request for Applications, NCDHHS released detailed information about the Standard Plan and future Behavioral Health (BH) and I/DD Tailored Plan (Tailored Plan) benefit packages. NCDHHS currently covers a subset of BH services under its 1915(b)(3) waiver, which will sunset upon Tailored Plan launch in December 2022. NCDHHS is seeking authority to cover most of the current 1915(b)(3) services through the 1915(i) authority (Tailored Plans). Information on the 1915(i) services is available in the NC Medicaid Transition of 1915(b)(3) Benefits to 1915(i) Authority white paper.
NCTracks Contact Center: 800-688-6696