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Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: November 29, 2017 Agenda Item Subject: Medicaid Transformation Update Attachment(s): Medicaid Transformation Presentation Staff or Board Member Reporting: Dorothy Cilenti and Rebecca Crawford Purpose: ___ Action _X_ Information only ___ Information with possible action Summary Information: In September 2015, the NC General Assembly enacted Session Law 2015-245, which directed the transition of Medicaid from a fee-for-service structure to a managed care structure. This past August, NC Department of Medical Assistance (DMA) issued a position paper detailing the proposed vision for what has been coined “Medicaid Transformation”. According to the proposed schedule, DMA will issue white papers this fall, which will provide further information around program design, Requests for Information (RFI’s) this winter, which will gather information from experts to flesh out the program design, and Requests for Proposals (RFP’s) in the summer of 2018 to engage providers and candidates for managed care organizations; with the goal of beginning services under the new model in July 2019. There are many unknowns in this process to combine primary care and behavioral health into “whole person” care, including how local health departments will play a role in the new managed care environment. However, the NC Association of Local Health Directors has retained a consultant to help vouch for the importance of health departments as a service provider and to help health departments navigate the change process. Our role over the next 18 months will be to monitor and educate ourselves about the new processes, policies, and regulations and stay nimble as an organization so we can adjust to change. We will need to stay relevant as a Medicaid provider in North Carolina and provide the best, coordinated care to our clients in Orange County.