Medicaid Transformation Legislative Oversight Committee

 The Joint Legislative Oversight Committee on Medicaid and NC Health Choice met on November 26, 2018. The meeting documents can be viewed here.

Hurricane Update

DHHS Secretary Mandy Cohen provided a hurricane relief update. The Department’s first priority was emergency mental health needs. DHHS also prioritized supporting housing efforts and child welfare services.

Medicaid Transformation Update

Secretary Cohen stated that her goal of Medicaid transformation was to buy health not health care. Her priority is to focus on the health of patients and minimize emergency room visits.

Dave Richard from DHHS provided the Committee an overview on some of the key provisions of the waiver. He noted that DHHS is on track to start the plans in November of 2019. One of the notable provisions is the integration of physical behavioral, and pharmacy benefits in both Standard Plans and Tailored Plans. To help combat the opioid crisis, NC will increase inpatient and residential substance use disorder treatment by beginning to reimburse for services provided in institutions of mental disease and expand substance abuse disorder treatment. The Healthy Opportunities Pilots to help increase better health outcomes and efficiency.

The presentation also provided a draft timeline for implementation of transformation.

Medicaid Enrollment

The presentation stated that Medicaid enrollment has kept in line with DMA’s expectations to date.

Financial Update

Through September 2018, Medicaid’s use of appropriations was 21.9% less than budgeted for this point in the year.



More Posts in Legislative News


Share this Post