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What Is Next for Behavioral Health in Managed Care?
1deputy secretary, Division of Medical Assistance, Department of Health and Human Services, Raleigh, North Carolina dave.richard@dhhs.nc.gov.
North Carolina Medical Journal
|January 25, 2017
Summary
North Carolina
Area of Science:
- Health Policy
- Behavioral Health Services
- Healthcare Reform
Background:
- North Carolina's current behavioral health care system relies on local management entities (LMEs) and managed care organizations (MCOs).
- The state is undergoing a significant Medicaid reform through an 1115 waiver.
Purpose of the Study:
- To analyze the implications of North Carolina's Medicaid reform on its behavioral health care system.
- To inform policymakers about the continuation of the LME/MCO model post-waiver implementation.
Main Methods:
- Policy analysis of North Carolina's Medicaid reform legislation.
- Review of the 1115 waiver's impact on behavioral health service delivery.
Main Results:
- Legislation mandates the continuation of the LME/MCO behavioral health care system for four years post-waiver implementation.
- Policymakers face choices regarding the future structure of behavioral health care delivery.
Conclusions:
- The established LME/MCO model in North Carolina's behavioral health sector will persist for at least four years following the 1115 waiver's go-live.
- Deliberate and thoughtful policy decisions are crucial for the future of the state's behavioral health care system.
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