Tagged With "PHPs"

In North Carolina, Medicaid Transformation is well under way with most beneficiaries receiving services through Medicaid Managed Care as of July 1 st , 2021. In this model, recipients choose an integrated health plan—covering both their physical and mental/behavioral health needs—from one of five prepaid health plans (PHPs) with which the state is contracted. This is a shift from North Carolina’s previous Medicaid system which separated the physical and mental/behavioral health dollars and...

In July, North Carolina started the process of Medicaid transformation. Oversight and management of some Medicaid behavioral health dollars transitioned from more regionalized, specialized organizations to statewide organizations that focus on both behavioral health and physical health. During this transition, providers have worked tirelessly to ensure that much needed services continue despite logistics surrounding health plans. During the process of Medicaid transformation, providers have...