Behavioral Health I/DD Tailored Plan
North Carolina will launch the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan Dec. 1, 2022. This plan is an integrated health plan for individuals with significant behavioral health needs and intellectual/developmental disabilities (I/DDs). The Behavioral Health I/DD Tailored Plan will also serve other special populations, including Innovations and Traumatic Brain Injury (TBI) waiver enrollees and waitlist members, and be responsible for managing the state’s non-Medicaid behavioral health, developmental disabilities and TBI services for uninsured and underinsured North Carolinians.
The following organizations will serve as regional Behavioral Health I/DD Tailored Plans beginning Dec. 1, 2022:
- Alliance Health
- Partners Health Management
- Sandhills Center
- Trillium Health Resources
- Vaya Health
Tailored Care Management
As North Carolina transitions its Medicaid and NC Health Choice program from a predominately fee-for-service delivery system to managed care, the Department is focused on building effective models for managing member’s comprehensive needs through care management. The Department is investing in the Tailored Care Management model, a community-based, provider-driven model aimed at whole person care and driving toward better health outcomes.
Through Tailored Care Management, Behavioral Health I/DD Tailored Plan beneficiaries will have a single designated care manager supported by a multidisciplinary care team to provide integrated care management that addresses all of their needs, spanning: physical health, behavioral health, I/DD, TBIs, pharmacy, long-term services and supports (LTSS) and addresses their unmet health-related resource needs. For more information, please visit the Tailored Care Management webpage.
Behavioral Health I/DD Tailored Plan Fact Sheet for Beneficiaries - Feb. 11, 2022
Behavioral Health I/DD Tailored Plan Fact Sheet for Providers - Feb. 11, 2022
Request for Applications Tailored Plan Fact Sheet - Dec. 2, 2020
Town Hall Meeting Frequently Asked Questions - Feb. 18, 2020
Behavioral Health I/DD Tailored Plan Webinar - Oct. 28, 2020
This webinar provides an overview about what is happening in North Carolina, review key information about Behavioral Health I/DD Tailored Plans and highlight what's next for beneficiaries.
Behavioral Health I/DD Tailored Plan Request for Applications Pre-Release Policy Paper Webinar - Feb. 10, 2020
This webinar walks stakeholders through the following remaining aspects of the Behavioral Health I/DD Tailored Plan design, including the procurement process, administration and entity management, financial management and monitoring, provider participation/contracting, quality and other programmatic features under Behavioral Health I/DD Tailored Plans.
State-funded Services Design Under Behavioral Health I/DD Tailored Plans Webinar - Jan. 24, 2020
This webinar provides background and guiding principles on the transition to Medicaid Managed Care and the Department's vision for State-funded services. It also provides information on care management requirements, community integration, local health functions and accountability.
How Beneficiaries Move Between the Standard Plan and Behavioral Health I/DD Tailored Plan - Nov. 6, 2019
Behavioral Health I/DD Tailored Plan Eligibility and Enrollment - March 26, 2019
Note: Eligibility and enrollment policy was updated July 16, 2019. Please refer to the update documents for accurate information.
MCAC Behavioral Health I/DD Tailored Plan Design Subcommittee - March 6, 2019
- Presentation - Tailored Plan Eligibility
- Presentation - Tailored Plan Design
- Presentation - Care Management
MCAC Behavioral Health I/DD Tailored Plan Design Subcommittee - Feb. 4, 2019
Integration of Behavioral and Physical Health Care in Tailored Plan - Jan. 24, 2019