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Questionnaire NameNorth Carolina Amended 1115 Demonstration Application
DescriptionNorth Carolina is amending their 5-year section 1115 demonstration application previously submitted on June 1, 2016. The amended application requests to implement managed care transformation for Medicaid beneficiaries including incorporating tailored plans for some populations. Additional proposed programs under the amended application include the development of a substance use disorder program, expansion of the provider loan repayment program, building a behavioral health home care program, and piloting new programs such as telemedicine and regional resource management for unmet needs. The federal comment period will be open from December 5, 2017 through January 5, 2018.
Response FromID: #312261 on Dec 29th 2017 6:59 am
North Carolina Amended 1115 Demonstration Application

North Carolina Amended 1115 Demonstration Application

We encourage the public to submit their comments on Medicaid.gov as they relate to demonstrations open for public comments. In support of transparency and open government, all public comments received are immediately posted and are in the public domain. Center for Medicaid and CHIP Services staff will review all public comments posted and we reserve the discretion to delete comments that are generally understood as any of the following: obscene, profane, threatening, or otherwise inappropriate.

Refer to the Application

Open for Public Comment – 12/05/17 – 01/05/18

Please provide your comments here and/or attach below:

Greetings.

It is a concern of mine that the current waiver for Medicaid will make access to care more difficult for the 2 out of 5 children in NC who rely on this coverage for their healthcare. Making participation harder with complicated rules, procedures and measures -- or rules, procedures and measures that don’t make sense for children -- will substantially reduce access in our state. Currently my suburban practice has about 25% of our patients taking Medicaid. If payment is reduced, or capped, or if payment is delayed or difficult, my practice will have to make a decision financially to cap our medicaid enrollment or we could face financial peril. We are fortunate that we could limit our medicaid population and still stay solvent. Colleagues of mine across the state could not.
Inadequate or delayed payments will hurt access. When children don’t have access to the right care and at the right time, both their immediate health and their longer-term health trajectories can be compromised.

Brian
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