The Arc is Holding a Series of Public Forums Across the State on "Managed Care" Waivers
Currently, PBH (formerly Piedmont Behavioral Health) is the only Local Management Entity (LME) operating under a combined 1915(b)(c) waiver, usually referred to as a "Managed Care" waiver. PBH covers Cabarrus, Davidson, Rowan, Stanly and Union Counties.
What are combined/managed care waivers? How do they work? How will they affect people with intellectual and developmental disabilities?
It is very important that we understand what these waivers are. The state has been clear on the intent to convert all of NC to these waivers. This will radically change our system into one that is fully controlled by regional managed care entities operated by the LMEs.
All of us: staff, families, and individuals with disabilities need to be knowledgeable participants in this discussion before the General Assembly returns in May.
Significant Changes include:
Flexibility of LME to determine rates and service definitions
Ability to ration service dollars to most critical services
Ability to limit provider network and other managed care benefits
Reduction in provider choice
Some protections associated with the Medicaid program could be reduced
The local nature of the service system could be lost
It is anticipated that the larger expansion of this model (statewide) will be accomplished by combining LMEs, not necessarily geographically connected
For more information on "managed care" waivers and the forums, please visit The Arc of NC's website at www.arcnc.org
Follow this link for details on the forums
For forum locations that already are using "Managed Care" waivers through PBH, The Arc will be collecting information from attendees on how the Innovations waiver is working for them.
Here are the next scheduled forum dates:
March 18- Guilford County
Hosted by: The Arc of High Point and The Arc of Greensboro
Where: GTCC Jamestown Medlin Campus Center Room 047 601 High Point Road, Jamestown, NC, 27282
Questions: The Arcs of High Point- 336-883-0650 and Greensboro-336-373-1076
March 22- Durham County
Hosted by: The Arc of Durham County
Time: 6:00-8:00 p.m.
Where: Durham Public Library- Main Branch 300 N. Roxboro Street, Durham, NC 27701
Questions: The Arc of Durham County- 919-493-8141
March 30- Rowan County
Hosted by: The Arc of Rowan County
Time: 6:00 pm
Where: First Baptist Church -223 N. Fulton St., Salisbury, NC
Questions: The Arc of Rowan County- 704-637-1521