Provider Outreach to Members

Some providers are encouraging patients to sign up for managed care (i.e. the Standard Plans) and listing the health plans they have contracted with to help patients with health plan selection. We welcome this engagement from our providers, but please note that not all Medicaid members are moving to managed care now. We understand receiving letters or other information from providers to sign up for a health plan is causing some confusion for our members who are not required to sign up at this time.

Members who are not required to sign up include those on the Innovations Waiver or people receiving intensive mental health or substance abuse services.

If you hear from your provider conducting outreach, we encourage you to call the NC Medicaid Enrollment Broker at 833-870-5500 (TTY: 833-870-5588). The enrollment broker can tell you if you are required to sign up for Medicaid Managed Care at this time and can help you with making an informed choice if you are.

Tiered Care Coordination Pilot

Breadcrumb

The Tiered Care Coordination (TCC) pilot aims to address the high rates of exposure to trauma and high behavioral health needs specific to youth and families involved in child welfare and the juvenile justice system. The program was created by the Governor’s Taskforce on Mental Health and Substance Abuse.

The goal of this family-driven, youth-guided project is to reduce the need for out-of-home care and return children and youth to their families or natural community setting through supporting a family’s voice and choice.

Tier Care Coordination Services by Tiered Service Level 

Teens chilling at the living room
Source: NC DHHS

Who is eligible?

  • Youth and Family must reside in Pitt County
  • Age 6-21
  • In custody of Department of Social Service OR involved with Department of Juvenil Justice system
  • Youth residing with the caregiver and may be at risk of out-of-home placement, or in process of returning home from out-of-home care
  • Caregiver is willing to participate in services

What is High Fidelity Wraparound (HFW)?

High Fidelity Wraparound is an empowering team of individuals and agencies working together to enhance the lives youth and their families. In collaboration with the Tiered Care Coordination team, a family will identify specific needs and goals to help lead fulfilling lives with confidence, through strengthening their network of natural supports. 

High Fidelity Wraparound Goals

Graphic of Goals High Fidelity Wraparound
Source: NC DHHS

What outcomes can I expect for the child or adolescent?

  • Improved mental health outcomes
  • More engagement in school
  • No new legal involvement
  • Reduction in the use of crisis services
  • Increase family empowerment

For more information about Tiered Care Coordination contact: 

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