Today, the North Carolina Department of Health and Human Services consolidated the state’s Local Management Entity/Managed Care Organizations to improve access to health care services in preparation for the launch of the Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plans on July 1, 2024.
Tailored Plans are integrated health plans designed specifically to serve individuals with severe mental illnesses, substance use disorders, or long-term care needs including I/DD and traumatic brain injury.
Eastpointe and Trillium Health Resources have consolidated into one entity, and Sandhills Center has dissolved, at the direction of the North Carolina General Assembly and NCDHHS Secretary Kody H. Kinsley. To help ensure continuity of care and a smooth transition, NCDHHS and the LME/MCOs have developed a transition plan to best support beneficiaries and recipients, providers and counties during consolidation.
Trillium will now support the counties Eastpointe, Sandhills and Trillium previously served, with the exception of three counties: Partners Health Management will serve Davidson County, Alliance Health will serve Harnett County and Vaya Health will serve Rockingham County.
The department and the LME/MCOs have sent educational materials and resources to beneficiaries who will experience a change of LME/MCO to help them navigate services, including information on their new LME/MCO. Beneficiaries and recipients do not need to take any action. They will continue to receive the services they receive today and will be able to see the same providers.
Additional information for beneficiaries and recipients, as well as an overview of the consolidation for providers, are available to address frequently asked questions and provide contact details for LME/MCOs throughout the consolidation process.