Medicaid Transformation Update

On November 19th, the North Carolina Department of Health and Human Services announced that the rollout of North Carolina Medicaid Transformation has been suspended because a state budget was not finalized.

The state was ready to roll out the new Standard Plan on February 1, 2020 with many people enrolled in a new health plan. However, the implementation of managed care cannot move forward until Governor Cooper and the North Carolina General Assembly agree on a new state budget.

The legislation for Medicaid Transformation includes funding that supports state infrastructure, policy, regulations, and taxes.

What does this mean for you?

The most important thing to know is that a delay in the rollout of Medicaid Transformation does not change anything for you. The good news is that your healthcare will remain intact.

You will continue to receive your services and see your doctor as you have been. NC Medicaid will continue with the current fee-for-service plan.

If you have enrolled in the Standard Plan, your information will be saved.

The General Assembly is tentatively scheduled to come back to Raleigh in January to take another look at the budget. Once the budget is finalized, it will take a lot of time to get everything back to where it is today.

North Carolina is one of a handful of states that does have managed care. Even though there is not a date for the launch, The Arc of North Carolina is confident that the implementation of managed care will resume and move forward.

You can find more information in the announcement released by NC DHHS:

If you have enrolled in the Standard Plan and have questions, the North Carolina Open Enrollment Call Center will stay open until December 13, 2019 and can be reached at 833-870-5500.

The Arc of North Carolina is here for you. Continue to check our website and social media for the latest information on Medicaid Transformation.