NC Medicaid 1115 Waiver Evaluation 2021-2026
Background on the 1115 Waiver: The State of North Carolina is transitioning the Medicaid and NC Health Choice programs from fee-for-service models to managed care. The transition to managed care will be paired with initiatives to: (a) support and enhance the capabilities of Medicaid providers; (b) strengthen access to care for beneficiaries; and (c) improve health through evidence-based, health-related interventions spearheaded by public–private regional pilot programs (collectively the “ECM Pilot Program,” also known as “Healthy Opportunities Pilots”). NC received approval of a 1115 demonstration waiver to implement these initiatives and complete the transition to managed care. Background on the Evaluation: Federal law requires 1115 demonstration projects be evaluated by an external, independent entity. North Carolina selected the Sheps Center to perform the required evaluation components: (a) An evaluation of the Department’s 1115 Waiver (b) An evaluation of the ECM Pilot Program/Healthy Opportunities Pilots (c) A provider satisfaction survey. |
Resources
Products |