Medicaid Managed Care Policy Paper North Carolina’s Design for State-Funded Services Under Behavioral Health and Intellectual/Developmental Disability Tailored Plans

North Carolina

State Policies & Initiatives: 
Policies and Programs

“This policy paper details the Department’s vision for the delivery of State-funded behavioral health, iintellectual and developmental disability (I/DD), and traumatic brain injury (TBI) services I/DD, as well as the continuation of critical “local health functions” under Behavioral Health I/DD Tailored Plans and covers the following areas:

  • Provision of State-funded Services under Behavioral Health I/DD Tailored Plans, including eligibility, available services, care management, provider networks, and handling of complaints and appeals;
  • Continuing the TCLI principles through Behavioral Health I/DD Tailored Plans and extending the functions of in-reach, transition, and diversion to additional populations;
  • Engagement and coordination of local health functions in the context of Medicaid Transformation; and
  • Accountability for State-funded Services, TCLI functions, and local health functions.
Systems: 
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics: 
  • Customized Employment
  • Mental Health
  • Segregated Day & Employment Services
  • Provider Transformation
  • Resource Leveraging
  • Data Sharing
Other: 
  • North Carolina Department of Health and Human Services
Date Enacted: 
12/30/2019
CITATIONS: