The NC Medicaid Transformation has been delayed. The Department of Health and Human Services (DHHS) announced today that it will extend open enrollment for Medicaid beneficiaries and move to a statewide transition to managed care on February 1, 2020.
Duke Connected Care will still contract with the following PHPs on behalf of all providers in the Clinically Integrated Network:
- Amerihealth Caritas of NC
- Carolina Complete Health
- UnitedHealthcare Community Plan
- Blue Cross Blue Shield of NC Healthy Blue
- Wellcare of NC
Managed care in North Carolina was scheduled to roll out in two phases, with Medicaid beneficiaries in part of the state beginning managed care services on Nov. 1, 2019 and most of the state beginning on Feb. 1, 2020.
Managed care will now launch in one phase.
Open enrollment will be extended until Dec. 13, 2019 for the following counties:
Nothing changes for the remaining 73 counties. As planned, open enrollment will begin for those 73 counties on Oct. 14, 2019 and run through Dec. 13, 2019. With today’s announcement managed care will now go-live in one phase for the whole state beginning on Feb.1, 2020.