What should I do to prepare for Tailored Plan launch?

Posted on

Make sure your local Department of Social Services (DSS) has your current mailing address, phone number and email address to ensure you receive all important information. You can find your local county DSS at dhhs.gov/localdss. * Report all changes, including your address and any changes such as income or a change in household that may […]

Read More

When are Tailored Plan changes happening?

Posted on

To ensure beneficiaries can seamlessly receive care on day one, the North Carolina Department of Health and Human Services (NCDHHS) is delaying the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/ Developmental Disabilities Tailored Plans (Tailored Plans) scheduled for Oct. 1, 2023, but will now go forward at a date still to […]

Read More

How will the transition to Tailored Plans occur?

Posted on

Medicaid beneficiaries will be assessed for Tailored Plan eligibility. 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.

Read More

Do all health plans offer the same services?

Posted on

All health plans offer the same basic benefits and services. Some health plans also offer added services. Standard Plans offer integrated physical health, pharmacy, care coordination and basic behavioral health for most people receiving NC Medicaid. Tailored Plans provide the same services as Standard Plans and provide additional services not available in Standard Plans. These […]

Read More

Can I change my Tailored Plan?

Posted on

No. Tailored Plan members will not have the option to change their Tailored Plan. Only one Tailored Plan serves each county in North Carolina. Tailored Plan enrollment is based on the county that manages your Medicaid case (administrative county).

Read More