North Carolina, Raleigh- Seven organizations were selected by the state Department of Health and Human Services (NCDHHS) to function as personalized behavioral health and intellectual disability plans.
Developmental disabilities are considered (personalized behavioral health I / D plans).
Those who need certain services to treat a serious mental illness, emotional disorder, substance use problem, intellectual disability, developmental or traumatic brain injury may be eligible to enroll in a personalized plan.
The organizations that obtained contract to serve like personalized regional plans of I / DD of behavioral health are:
Partner health management
Trillium Health Resources
Cardinal Innovations Healthcare
These personalized plans will provide integrated physical health, behavioral health, long-term care, and pharmacy services.
They will address unmet health-related resource needs for North Carolina residents who qualify under a plan.
These plans will provide the same services as standard Medicaid plans with additional specialized services to care for those with significant behavioral conditions.
These include those using home and community-based service exemptions, and those using state-funded services.
that’s how they will work
The plans will operate at the regional level and – as reported by the NCDHHS – will offer sound care management to nearly 200,000 people who are estimated to sign up.
An additional unique feature of these plans is the combination of Medicaid and state funds to support enrolled populations.
The award of the contract covers the counties in each catchment area as of this Monday, as well as the readjustments approved by Secretary of Health Mandy Cohen as of this September 1st.
These are the alignments projected in the launch of the custom plan for July 1, 2022.
This list reflects projected assignments based on requested or approved terminations.
Requests for realignment and disengagement from the county must go through the process identified in the law and rule that ultimately requires the approval of the NCDHHS secretary.
The distribution is as follows:
Alliance Health: Cumberland, Durham, Johnston, Orange, Mecklenburg and Wake.
Eastpointe: Duplin, Edgecombe, Greene, Lenoir, Robeson, Sampson, Scotland, Wayne and Wilson.
Partner health management: Burke, Cabarrus, Catawba, Cleveland, Davie, Forsyth, Gaston, Iredell, Lincoln, Rutherford, Stanley, Surry, Union and Yadkin.
Sandhills Center: Anson, Davidson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond and Rockingham.
Trillium Health Resources: Bladen, Brunswick, Carteret, Columbus, Nash, New Hanover, Onslow, Pender, Beaufort, Bertie, Camden, Chowan, Craven, Currituck, Dare, Gates, Hertford, Hyde, Jones, Martin, Northampton, Pamlico, Pasquotank, Perquimans, Pitt , Tyrrell and Washington.
Vaja Health: Alamance, Alexander, Alleghany, Ashe, Avery, Buncombe, Caldwell, Caswell, Cherokee, Clay, Franklin, Graham, Granville, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Person, Polk, Rowan, Rutherford, Swain, Transylvania, Vance, Watauga, Wilkes and Yancey.
pending: Chatham, Halifax, Stokes and Warren.