Evaluation of the Medicaid Reform Demonstration

The Sheps Center for Health Services Research is the independent evaluator for the state’s 1115 demonstration, the North Carolina Medicaid Reform Demonstration. The evaluation assesses the impact of the transition to NC Medicaid Managed Care, the substance use disorder (SUD) component of the demonstration and the Healthy Opportunities Pilots.

Mid-Point Assessment of North Carolina’s Substance Use Disorder 1115 Waiver – April 2022

This report evaluates the waiver components related to the transformation of the SUD benefits and treatment system at the midpoint of the waiver approval period, which began on January 1, 2019.

Healthy Opportunities Pilots Rapid Cycle Assessment 1 – March 2023

The Healthy Opportunities Pilots rapid cycle assessments (RCA) provide information to help guide service delivery and programmatic adjustments in close to real-time. Data related to infrastructure building beginning May 27, 2021 and service delivery between March 15, 2022 and November 30, 2022 are included in this initial assessment.