Medicaid Managed Care Proposed Program Design: Input Requested by September 8

Medicaid Managed Care Proposed Program Design: Input Requested by September 8

Today, the Department of Health and Human Services issued a detailed, proposed program design for Medicaid managed care in North Carolina. This proposed design will provide over 1.6 million residents with an innovative, whole-person-centered, well-coordinated system of care. The proposed design, available at,

gives providers, plans and other stakeholders the opportunity to share feedback before the Department submits a revised waiver to the Centers for Medicare & Medicaid Services (CMS) in the fall.

Over the past year, the Department has collaborated with stakeholders across the state, focusing on specific Medicaid transformation topics and issues. The comments received, such as during April and May public input sessions, were used by the Department as it developed this proposed program design.

Thanks to these valuable stakeholder insights, the proposed Medicaid managed care design supports provisions that reflect the strengths and needs of North Carolina:

• Integrating services for physical health, behavioral health, intellectual and developmental disabilities, and substance use disorders;
• Addressing unmet social needs and their effect on overall health; and
• Building on and strengthening what is working well today, such as care management, while supporting providers and beneficiaries through any changes during the transition and beyond.

Due September 8: Proposed Medicaid Managed Care Program Design Comments

Please share this message and the link to the proposed program design with your teams and association members. Prior public comments are available on the Medicaid transformation website at Those earlier comments do not need to be resubmitted.

Please send written comments by September 8:


U.S. Mail: Department of Health and Human Services, Division of Health Benefits, 1950 Mail Service Center, Raleigh NC 27699-1950

Drop-off: Department of Health and Human Services, Dorothea Dix Campus, Adams Building, 101 Blair Drive, Raleigh

The Department remains committed to working closely with stakeholders and experts to further refine the Medicaid managed care program. Thank you for continuing to partner with the Department on Medicaid transformation efforts. For more information, visit

Dave Richard
Deputy Secretary for Medical Assistance
Division of Medical Assistance
North Carolina Department of Health and Human Services
919 855 4101 office
1985 Umstead Drive
2501 Mail Service Center
Raleigh, NC 27699-2501

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