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NC Pediatric Society
Apt Parenting
Two key facts for understanding
Medicaid reform and kids
STATEWIDE
u AmeriHealth Caritas North Carolina, Inc.
u Blue Cross and Blue Shield of North Carolina
u UnitedHealthcare of North Carolina, Inc.
u WellCare of North Carolina, Inc
REGIONAL
u Carolina Complete Health (Regions 3 and 5)
Performance Improvement Project (PIP)
u Standard Plan – medical home is keyed to physical health needs and other
MH/BH services may be provided as needed
u Tailored Plan – medical home is keyed to MH/BH health needs and physical
health services may be provided as needed
u LME/MCO ?
u Contracts awarded May 2020 (tentative)
u Launch – July 2021
u Will also keep FFS for phased-in populations and some other groups
Child Aged 0-3 with or at-risk for
Developmental Delay or Disability
Key success elements we will monitor
Hairstylecamp.com
Moving on to legislation…
u https://www.youtube.com/watch?v=bxH-fbr9ki4
Legislation – Federal
u Families First
u Passed February 2018
u Allows more IV-E funding prevention of child abuse and neglect
u Substance abuse disorder treatment
u Mental health services
u In-home parenting supports
Hey
Sigmund
NC General Assembly
Imaginetoys.com
Patient Protections
u Parents with two children who earn $12,000 make too much for Medicaid in North
Carolina. However, they can’t get help buying health insurance in the marketplace until
they earn $25,100.
u The healthier adults are before they conceive, the more likely their babies
are to enjoy healthy birth outcomes
Elizabeth Hudgins
NC Pediatric Society
elizabeth@ncpeds.org