Tailored Plan Launch is Delayed
NC Medicaid will delay Tailored Plan Launch beyond October 2023. A new launch date has not been announced.
More information can be found 
here
Learn about Tailored Plan here

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Medicaid expansion will no longer launch Oct. 1 as the North Carolina General Assembly failed to take needed action to meet that date. A new launch date will be announced following the needed legislative action, but it will not be Oct. 1.
For more information, please view the press release from NCDHHS.

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Benefit Plans | Service Definitions

Benefit Plan Information

Service Definitions 

In Lieu of Services (ILOS) and Alternative Services

Service Definitions

Services for Medicaid–Eligible Children: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

Medicaid covers a broad array of health and dental services for those under age 21. A federal law requires Medicaid to provide all medically necessary health care services to Medicaid-eligible children. This is called Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), which is known in North Carolina as "Health Check." The services are required even if the services are not normally covered by the children's Medicaid.

For more information about Health Check and EPSDT in North Carolina, visit our page Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

 

 

Trillium welcomes feedback regarding the current Benefit Plans and Service Definitions. Feedback and recommendations will be taken into consideration and can be sent to QMinfo@TrilliumNC.org.

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