What is Tailored Care Management?

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TCM is a new kind of care management for eligible NC Medicaid beneficiaries. The goal of the program is to provide whole person care management to help beneficiaries meet their health goals. Whole person care looks at all the beneficiary’s needs including: Physical health Behavioral health Intellectual and developmental disabilities (I/DD) Traumatic brain injuries (TBI) […]

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Will I receive a new Medicaid ID card?

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Yes. Tailored Plans will begin mailing Welcome Packets including a Welcome Letter, Medicaid ID card and Member Handbook May 23, 2024. Make sure your local DSS has your current mailing address, phone number and email address to ensure you get all important information from your Tailored Plan.

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What should I do to prepare for Tailored Plan launch?

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Make sure your local Department of Social Services (DSS) has your current mailing address, phone number and email address so 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 (the number of family […]

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When are Tailored Plan changes happening?

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NC Medicaid will transition beneficiaries who may need certain services for a severe mental health disorder, substance use disorder, intellectual/developmental disability (I/DD) or traumatic brain injury (TBI) to Tailored Plans) July 1, 2024. Until then, potential Tailored Plan beneficiaries will receive health care services the same way they do today, through NC Medicaid Direct or […]

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How will the move to Tailored Plans happen?

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NC Medicaid beneficiaries will be assessed for Tailored Plan eligibility. Most 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 in Mid-April from the NC Medicaid Enrollment Broker letting them know about Tailored Plans.

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