A Message from NCTracks on Behalf of NC Medicaid Behavioral Health I/DD Tailored Plan Request for Applications (RFA) Pre-Release Policy Paper

The Department of Health and Human Services continues to prepare for the launch of Behavioral Health and Intellectual/Developmental Disability (I/DD) Tailored Plans, which will provide physical health, behavioral health, long-term care, pharmacy services and unmet health-related resource needs to qualifying North Carolinians under one plan.

After more than two years of intensive design work and stakeholder engagement, the Department is preparing to issue a Request for Applications (RFA) to seek Local Management Entity/Managed Care Organizations (LME/MCOs) to serve as Behavioral Health I/DD Tailored Plans and support the goals of NC Medicaid Managed Care. The RFA will include requirements for both Medicaid and State-funded services, as well as the evaluation questions that RFA respondents must complete and submit to the State to be considered for a Behavioral Health I/DD Tailored Plan contract award.

We are pleased to share for comment the Behavioral Health I/DD Tailored Plan Request for Applications (RFA) Pre-Release Policy Paper. This complements prior policy papers issued by the Department between 2017 and early 2020 and is intended to give stakeholders additional insight into Behavioral Health I/DD Tailored Plan design areas not previously addressed in other policy papers. This paper previews design related to the Behavioral Health I/DD Tailored Plan procurement process, administration and entity management, financial management and monitoring, provider participation/contracting, quality and other programmatic features.

Please share your comments on the policy paper with the Department at Medicaid.Transformation@dhhs.nc.gov by Feb. 14, 2020.