Behavioral Health I/DD Tailored Plan

North Carolina will launch the Behavioral Health and Intellectual/Developmental Disability Tailored Plan in 2021. This plan is designed 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.

Updates

Behavioral Health Crisis System Memo for Standard Plans 

While the implementation of managed care has been suspended as legislative action is needed to move forward, the Department of Health and Human Services continues to work on the design of Standard Plans and Behavioral Health and Intellectual Developmental Disability (I/DD) Tailored Plans.

The department is releasing a Behavioral Health Crisis System Memo for Standard Plans. This memo details Standard Plan requirements and expectations related to crisis services across a range of areas, including crisis services plans, covered services, provider contracting and reimbursement, and the requirements for transition of care between Standard Plan beneficiaries and Local Management Entity/Managed Care Organization (LME/MCO) and Behavioral Health I/DD Tailored Plans after their implementation following crises. 

Additional guidance and policy papers are available on the Medicaid Transformation webpage.
 

Provider Application Process for Tailored Care Management – extended deadlines

The Department received many thoughtful comments on the Draft Provider Manual released Dec. 11, 2019. To ensure that the Department gives providers enough time to prepare their applications after the release of the finalized manual, the Department has decided to further extend the initial application deadline for providers from Feb. 21, 2020, to June 2020 (date TBD). The finalized manual and application form will be forthcoming.

Previous Updates

Comment Period Extended - Behavioral Health I/DD Tailored Plan Request for Applications Pre-Release Policy Paper - Feb. 14, 2020
Behavioral Health I/DD Tailored Plan Request for Applications (RFA) Pre-Release Policy Paper - Jan. 30, 2020
Update: Draft Provider Manual for Tailored Care Management - Jan. 17, 2020
Draft Provider Manual for Tailored Care Management - Dec. 11, 2019

Resources

Town Hall Meeting Frequently Asked Questions - Feb. 18, 2020

Previous Meetings

2020

2020

Behavioral Health I/DD Tailored Plan Request for Applications Pre-Release Policy Paper Webinar - Feb. 10, 2020

The 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 

 

2019

2019

Tailored Care Management: What Providers Need to Know - Dec. 18, 2019

Presentation. Recording.

How Beneficiaries Move Between the Standard Plan and Behavioral Health I/DD Tailored Plan - Nov. 6, 2019

Presentation. Recording will be added when available.


Care Management under the Behavioral Health I/DD Tailored Plan - August 30, 2019

Behavioral Health I/DD Tailored Plan Care Management - August 20, 2019

Behavioral Health I/DD Tailored Plan Care Management - May 30, 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

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

2018

2018

Stakeholder Update on Tailored Plan Design - Nov. 28, 2018