Behavioral Health I/DD Tailored Plan

North Carolina will launch the Behavioral Health and Intellectual/Developmental Disability Tailored Plan July 1, 2022. 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

Request for Applications Issued for Behavioral Health and Intellectual/Developmental Disability (I/DD) Tailored Plans

On Friday, Nov. 13, 2020, NCDHHS issued a Request for Applications (RFA) for Behavioral Health I/DD Tailored Plans as part of North Carolina’s transition to Medicaid Managed Care.

As directed by the North Carolina General Assembly, for the first contract term, only LME/MCOs are eligible to respond to the RFA to serve as Behavioral Health I/DD Tailored Plans. The first Behavioral Health I/DD Tailored Plan contract term will last four years. NCDHHS will award no more than seven and no fewer than five regional Behavioral Health and I/DD Tailed Plan contracts and will not award any statewide tailored plan contracts.  

Behavioral Health and I/DD Tailored Plans will provide physical health, behavioral health, long-term care, pharmacy services and unmet health related resource needs to qualifying North Carolinians under one plan. These plans will provide the same services as Standard Plans but will also provide additional specialized services that serve individuals with significant behavioral health conditions, I/DDs and traumatic brain injuries (TBI).

RFA Questions and Answers Meeting

Behavioral Health I/DD Tailored Plan Memo on State-Funded Services Design Updates

memo regarding North Carolina’s Design for State-Funded Services Under Behavioral Health and Intellectual/Developmental Disability Tailored Plans white paper has been released.

DHHS appreciates the stakeholder feedback received. Based on that feedback, this memo includes updates to eligibility for State-funded Services, the set of core and non-core State-funded Services that will be offered within available funding limits following Behavioral Health I/DD Tailored Plan launch, the eligibility for State-funded care management for recipients with I/DD and TBI, and considerations for maximizing the impact of limited state funds available to support these services. 

Please send any comments or questions to Medicaid.transformation@dhhs.nc.gov.
 

Previous Updates

Tailored Care Management Updates - June 9, 2020
Behavioral Health Crisis System Memo for Standard Plans - March 6, 2020
Provider Application Process for Tailored Care Management – extended deadlines - Feb. 17, 2020
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

Tailored Care Management Provider Manual - June 9, 2020 
Revised Tailored Care Management Application Questions - June 9, 2020 
Town Hall Meeting Frequently Asked Questions - Feb. 18, 2020

Previous Meetings

2020

2020

Behavioral Health I/DD Tailored Plan Webinar - Oct. 28, 2020

The 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

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