Prepaid Health Plans to Participate in Medicaid Managed Care
On February 4, 2019, the NC Dept of Health and Human Services (DHHS) announced the selection of Prepaid Health Plans (PHPs) that will participate in Medicaid managed care when the program launches in November 2019. Statewide PHP contracts were awarded to AmeriHealth Caritas North Carolina, Inc; Blue Cross and Blue Shield of North Carolina; UnitedHealthcare of North Carolina, Inc; and WellCare of North Carolina, Inc. A regional contract for Regions 3 and 5 was awarded to Carolina Complete Health, Inc. More information is available on the PHP Contract Awards Fact Sheet.
Please note that this procurement is for the Standard Plans, in which 1.6 million Medicaid Managed Care beneficiaries will be enrolled. Tailored Plans, designed for certain populations with more specialized behavioral health needs, will be procured later.
Secretary Cohen will be holding a Stakeholder Call to provide an update on the transformation to Medicaid Managed Care, including the PHP contract awards:
Stakeholder Call: Medicaid Managed Care Update
Wednesday, Feb. 6
To register: https://goto.webcasts.com/starthere.jsp?ei=1229357&tp_key=33c0036c8a
REGISTRATION IS REQUIRED TO PARTICIPATE
DHHS is looking forward to working closely with the selected health plans as Medicaid Managed Care launches in two regions in November 2019, and the following regions in February 2020. A map of Medicaid Managed Care Regions and Rollout Dates is available on the Medicaid Transformation Web site.
North Carolina Assisted Living Association