How will the transition to Tailored Plans occur?

Medicaid beneficiaries will be assessed for Tailored Plan eligibility in August 2022. Some beneficiaries will be auto-enrolled in a Tailored Plan. Some will be able to opt-in to a Tailored Plan. In both cases, beneficiaries will receive a notice from the NC Medicaid Enrollment Broker letting them know about Tailored Plans.

Tailored Plan members will be able to choose their primary care provider (PCP) and Tailored Care Management provider beginning August 15, 2022. If a Tailored Plan member does not choose a PCP or Tailored Care Management provider before October 14, 2022, they will be automatically assigned one. On December 1, 2022, Tailored Plan members will begin to receive health services from their Tailored Plan.