Investor Presentaiton
Overview of Medicaid Managed Care
The goal of managed care is to improve the health of North Carolinians through an
innovative, whole-person centered, and well-coordinated system of care.
NC Medicaid providers will contract with and be reimbursed
by prepaid health plans (PHPs) rather than the State directly
✓ Three types of products:
✓ Standard Plans for most Medicaid and NC Health Choice
beneficiaries; scheduled to launch in February 2020
✓
BH I/DD Tailored Plans for qualifying high-need populations with a
serious mental illness, serious emotional disturbance, substance use
disorder, I/DD, or traumatic brain injury; tentatively scheduled to
launch in July 2021
Statewide Foster Care Plan for children in foster care; tentatively
scheduled to launch shortly after the launch of BH I/DD Tailored
Plans (more information is forthcoming)
All three types of products will offer a robust set of behavioral
health benefits; however, certain more intensive behavioral
health benefits will only be available through BH I/DD
Tailored Plans
Continued focus on high-quality, local care management in
all three types of productsView entire presentation