Arc NC message : Slow Managed Care

The Arc of North Carolina
May 7, 2012

NC should slow down Managed Care Implementation

Cost of overly rapid tranistion being paid by those with I/DD in NC The Arc of NC believes the state of North Carolina must slow the implementation of the 1915(bc) combination waiver in order to avoid serious transition issues and unintended consequences due to unreasonable implementation timelines, and to revise plans in the design of the Managed Care Waiver. The Arc raised significant concerns about the managed care model during the last legislative session. In good faith, we have attempted to work with the state to implement this model and to point out where it does not work. Our good faith efforts resulted in little action from the State and a continued rush to implement a system that could harm people with developmental disabilities and their families.  For example: Despite language allowing for the provision of care coordination by independent agencies, no MCO has chosen to implement this option; individuals and families are losing their case management and their independent voice  Individuals cross walking from CAP to the Innovations waiver are having service changes that are not in the best interest of the individual Medicaid “county of origin” is causing serious implementation issues Payment and authorization systems are not working as intended Community Guide is not available for the people who need it now (since they no longer have a Case Manager) There is little coordination between the service and the medical side of Medicaid How guardianship will be provided has yet to be resolved   - Click to Read More -   Sign up for The Arc of NC's newsletter. Policy Partners is The Arc of North Carolina's biweekly email newsletter. It covers developmental disability policy on the federal, state, and occasionally local level. Its also a great way to learn about events The Arc is having in your area!