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- CMS Grants NC 1115 Medicaid Waiver to Implement Managed Care System
CMS Grants NC 1115 Medicaid Waiver to Implement Managed Care System
November 14, 2018North Carolina has received a 1115 waiver from CMS allowing the state to implement a Medicaid managed care system administered through private payers.
Aetna, AmeriHealth Caritas of North Carolina, BlueCross BlueShield of North Carolina, UnitedHealthcare, and WellCare are just a few insurers vying to participate in North Carolina’s managed care program. North Carolina currently spends $14 billion a year on Medicaid services, which would be transitioned from public administrators to managed care payers.
North Carolina’s new program will begin at the start of 2019 and expire on October 31, 2024. The five-year program reflects the increasing reliance on private payers to administer Medicaid across the country.