The current NC Section 1115 Demonstration Waiver, which authorizes the Healthy Opportunities Pilot (HOP) and other NC Medicaid initiatives, is set to expire on October 31, 2024. During the first demonstration period, the state began transitioning to managed care and invested in novel programs like HOP to meet North Carolinians’ nonmedical health needs.
North Carolina is seeking to renew its Medicaid reform waiver for another five-year period to build on the successes of the HOP program. In addition to extending the pilot period, the state is proposing several changes, including
The North Carolina Department of Health and Human Services (NCDHHS) is actively seeking community input on this draft waiver through September 20, 2023.
NCDHHS is currently seeking public input on the draft waiver application. The number of comments matters, so we need your help.
As the Network Lead (NL) responsible for implementing HOP in Western North Carolina, Impact Health is planning to provide the feedback below regarding the pilot portion of the draft waiver application.
If you would like to submit these comments as well, in part or in whole, please feel free to copy and paste our comments into your email to NCDHHS. You can email NCDHHS directly at [email protected]. Make sure to place “NC Section 1115 Waiver” in the subject line.
Remember that every comment counts! You can also share your feedback with Impact Health by emailing [email protected].
Please Note: All feedback must be received by 5 p.m. on Wednesday, September 20.
We are submitting the following feedback regarding the pilot portion of the current draft of the NC Section 1115 Demonstration Waiver application.
1. RETAIN: Impact Health strongly supports the following items in the state’s draft application:
2. MODIFY: Impact Health believes the following items could be improved upon:
3. CLARIFY/ADD: Impact Health requests the following clarifications and additions:
Additional Recommended Pilot Enhancements
Fee Schedule Improvements
Digital Platform & Billing Process Improvements
Compliance and Quality Assurance