NC Starts Medicaid Transformation Program, Sidesteps Expansion

North Carolina’s legislature has decided to put off Medicaid expansion for another year, but passed a Medicaid transformation bill to continue the transition from fee-for-service to privatized managed care organizations, local news outlets explained.

North Carolina’s Senate Bill 808 sets up the funds for the Medicaid transformation project. It also established that the Department of Health and Human Services (DHHS) will need to be ready for Medicaid transformation starting July 1, 2021.

The state already contracted with five Medicaid managed care organizations to administer the transformed Medicaid program: AmeriHealth Caritas North Carolina, Inc., Blue Cross and Blue Shield of North Carolina, UnitedHealthcare of North Carolina, Inc., WellCare of North Carolina, Inc., and Carolina Complete Health.

Source: https://healthpayerintelligence.com/news/nc-starts-medicaid-transformation-program-sidesteps-expansion