The Department of Health and Human Services is delaying implementation of the Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. Tailored Plan launch was scheduled for Oct. 1, 2023, but will now go forward at a date still to be determined. The Department and the LME/MCOs remain committed to the implementation of the Tailored Plans, ensuring minimal disruption for the roughly 160,000 eligible beneficiaries set to be in the Tailored Plans. Tailored Plans will serve people with complex behavioral health conditions, intellectual/developmental disabilities (I/DD) and traumatic brain injury (TBI). Their behavioral and physical health needs are often significant, requiring ongoing care from multiple providers.
In late February 2023, when the Department made the decision to delay to Oct. 1, leadership identified three key areas that needed more work to ensure a smooth transition. First, that the LME/MCO provider network and technical capability readiness needed to improve; second, that the Department had the appropriate legal tools to ensure the well-being and safety of beneficiaries if an LME/MCO is failing to provide services; and third, that the LME/MCOs were focused on providing services for the populations they are best positioned to manage successfully.
Read the full press release from NCDHHS