Specialized Foster Care Plan

New: Specialized Foster Care Plan to Launch July 1, 2023

The Department recently published the policy paper "North Carolina's Specialized Foster Care Plan," requesting input from those who support these populations and other interested stakeholders. After review of recommendations, the Department is moving the Specialized Foster Care Plan launch to July 1, 2023. This revised date will allow time for additional design and input on key features of the Foster Care Plan for children and youth currently and formerly involved in the child welfare system.

About the Foster Care Plan

The Foster Care Plan will be a statewide specialty NC Medicaid Managed Care plan to ensure access to comprehensive physical and behavioral health services while maintaining treatment plans when placements change. The Foster Care Plan will include care management services to improve coordination among service providers, families, involved entities (such as the Department of Social Services, Division of Juvenile Justice, schools) and other stakeholders involved in serving Foster Care Plan members. 

Interim Plan to be Developed

To ensure these children and youth are not required to make multiple transitions as North Carolina moves to managed care, the Department will seek input from key stakeholders on an interim plan that will:

  • Ensure children receive a full range of physical and behavioral health services
  • Leverage the existing NC Medicaid Direct primary care and LME-MCO behavioral health system while directly addressing challenges and mitigating problems children in foster care face today
  • Ensure children in foster care receive increased coordination of care
  • Include legislative changes necessary to support the 2023 launch of the Foster Care Plan that enables children's access to behavioral services

More Stakeholder Engagement to Come

In the coming weeks, the Department will:

  • Share details of the Foster Care Plan request for proposal not described in the policy paper
  • Consult with stakeholders on the policy paper feedback
  • Identify opportunities to align Foster Care Plan requirements with the Family First Prevention Services Act
  • Explore potential changes to reach children earlier and offer services to children in foster care and their families

Webinar: An Overview of North Carolina's Specialized Foster Care Plan -- Feb. 11, 2021

Foster Care (FC) Plan Workgroup

The Department has convened the Foster Care (FC) Plan Workgroup, a diverse set of stakeholders including current and former foster youth, providers, representatives from advocacy organizations, Standard Plans, LME-MCOs, the EBCI, and state agencies to establish a forum for bi-directional feedback on the design of the FC Plan. During a series of discussions between April and July 2021, the Department will build on the stakeholder engagement conducted to date to further detail the FC Plan design reflected in the February 2021 concept paper "North Carolina's Specialized Foster Care Plan." This workgroup will identify and address areas of agreement and concern among stakeholders, and help support the development of the FC Plan, which will effectively meet the unique needs of the state’s children and youth currently and formerly involved in the child welfare system.

The FC Plan Workgroup is open to the public. Stakeholders who are not members of the FC Plan Workgroup may submit written feedback through Medicaid.Transformation@dhhs.nc.gov.

Please see below for the current schedule of FC Plan Workgroup sessions.

Date Proposed Topic(s) Meeting Materials
April 19, 2021
3 -3:40 p.m.
  • Introduction to FC Plan Workgroup and Approach 
  • FC Plan Overview
  • Statewide Design
May 3, 2021
3 - 4:30 p.m.
  • Eligibility & Enrollment
  • Benefits/Services
May 17, 2021
3 - 4:30 p.m.
  • Care Management 
June 7, 2021
3 - 4:30 p.m.
  • Provider Network 
June 21, 2021
3 -4:30 p.m.
  • Quality
  • Other Items (as needed) 
July 12, 2021
3 - 4:30 p.m.
  • LME/MCO Interim Plan Recommendations