This survey is to get your thoughts, concerns, ideas related to the Transition of Care for a Medicaid beneficiary or “Member” from one plan to another. All of your responses are anonymous. If you have any difficulty with the survey, please contact Kelly Friedlander at Kelly@i2icenter.org.
This survey is part of an effort by the Behavioral Health/Intellectual-Developmental Disability (BH/IDD) Subcommittee of the Medical Care Advisory Committee (MCAC). The MCAC serves as an advisory body to the NC DHHS Secretary on issues related to Medicaid Transformation. The Transition of Care would occur when a Member moves from a Standard Plan to a BH/IDD Tailored Plan and vice versa. It is important to note that BH/IDD Tailored Plans are in set regions so beneficiaries in the BH/IDD Tailored Plans will not be offered a choice of Prepaid Health Plans as they are in the Standard Plan. Therefore, it would not be possible for a Member to move from one BH/IDD Tailored Plan to another BH/IDD Tailored Plan. NC DHHS has self-imposed timelines to address Transitions of Care from the Standard Plan. They pledge to:
- Process auto enrollments within 5-7 calendar days;
- Approve or deny optional Tailored Plan enrollment requests made to the Enrollment Broker within 5-7 calendar days;
- Expedite transfers for urgent medical needs will be reviewed and approved or denied within 24 to 48 hours from when the beneficiary makes the request to the Enrollment Broker.
DHHS has provided the following powerpoint regarding Transitions of Care. CLICK HERE