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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: #312457 on Jan 6th 2018 9:21 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:

I have a medically involved child on Medicaid and live in New Mexico, which has managed care. Managed care has created problems for us as the MCO changes its contracts with providers. For instance the first specialists my son saw ordered a swallow study, but the hospital where the specialist worked refused to perform it because they didn't take our insurance (MCO) even though the specialist did. So we had to get a referral to have it done at another hospital from our pediatrician, who - not being a specialist in that area- did it WRONG and my son received the wrong test. They changed our pharmacy with short notice and some of my son's numerous medications did not transfer over, we eventually got them but it was unnecessarily complicated and delayed refilling some of his medicines, which could be fatal for some children. We've had the ER send for a non contracted DME to bring my son oxygen in the middle of the night, and had to give the oxygen back. These are just a few examples. I hope you will consider the needs of the medically complicated and disabled population in your decision.
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