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North Carolina has a plan to change the way Medicaid pays for mental health, developmental disabilities, and substance abuse services. The change is known as the 1915(b)/(c) Medicaid Waiver. The goal of the change is to make sure that people needing help are able to easily get high quality services.

Dixon demonstrates its awareness and operation of applicable federal, state, and local laws and regulations. We stay informed of the various changes within these spheres through active membership and involvement in its associations, councils, and organizations.

What is it?

The waiver is an agreement between the federal government, State of NC and any Managed Care organization (LME) which allows ECBH to manage all Medicaid mental health, intellectual and developmental disability, and substance abuse services.

Why do it?

  • Increase the availability and quality of services consumers receive.
  • Improve accountability for taxpayer dollars and ensure that the money that is spent helps people achieve positive outcomes.
  • Help good providers to be more successful so they can effectively serve consumers.
  • Provide more stability in funding for the State.
  • Savings achieved by delivering more appropriate and effective services will be reinvested in additional services for consumers.

When will it happen?

  • Dixon will implement the waiver on April 1, 2012.
  • The whole State of NC will be covered under the waiver by July 1, 2013.

What will change?

  • Consumers, providers, all other stakeholders will work with ECBH locally, rather than with out- of-state vendors and State agencies.
  • Services offered will remain basically the same for all three population groups.
  • People on the CAP-MR/DD waivers will transition to Innovations waiver, but the services available are virtually identical.
  • Over time, ECBH will implement quality standards for network providers that will raise the quality and effectiveness of the services delivered. Providers that fail to meet those standards may no longer be part of the provider network.
  • Services will become more available in rural and other areas that are currently underserved.
  • New services will become available as savings are realized.
  • Targeted case management delivered by provider agencies will be replaced by care coordination delivered by ECBH staff, but the functions performed will stay the same.


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