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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: #312445 on Jan 6th 2018 2:29 am
North Carolina Amended 1115 Demonstration Application

North Carolina Amended 1115 Demonstration Application

We encourage the public to submit their comments on 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

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As a family in Texas who has gone through this change with my medically complex daughter, managed care fails to serve complex children's healthcare needs and puts their lives at risk. It is also not saving the state of Texas money and the transition in Texas should be a fairly good case study in what not to do in other states. Such a transition is hard to reverse, but the transition to MCOs has led families in Texas to lose access to critical care team providers that are the most appropriate specialists for our children's rare and complex needs, experience unnecessary delays and red tape that put the children's lives at risk, and the MCOs were not ready and over a year in are not meeting their contractual obligations to the state daily and the management of MCOs is proving to be a lot more burdensome than the state had anticipated. I urge other states considering similar changes to look for other solutions to cut costs and not choose to unnecessarily put complex children's lives at risk for a program that in unproven and adds complexity and stress for families and children with specialized care needs.
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