Healthy Opportunities of the Piedmont

Print
Press Enter to show all options, press Tab go to next option

NC DHHS releases further guidance about pilot service definitions and pricing methodology and an LPE statement of interest and supplementary guide. Use the links below to access these documents. Thank you.

Healthy Opportunities Pilots Service Definitions and Pricing Methodology

Healthy Opportunities Lead Pilot Entity (LPE) Statement Of Interest and Supplementary Guidance



Upcoming Meeting Dates for Healthy Opportunities of the Piedmont

August 22, 2019 at 3:00pm, Piedmont Triad Regional Council Large Conference Room

 Overview:

Transitioning to Managed Care for Improved Health Outcomes 

Document:  Healthy Opportunities of the Piedmont Tip Sheet


Healthy Opportunities of the Piedmont Meeting - June 19, 2019 at 3:30pm, PTRC

Panel Members:

  1. Kevin Moore, Vice President, Policy –Health and Human Services, UnitedHealth care, Wisconsin
  2. Ted Rooney, Healthcare Quality Consulting, Maine
  3. Chris Esguerra, Senior Medical Director, Blue California, California (Member of the NC Medicaid Pilot Advisory Panel)
  4. Brieanne Lyda-McDonald, Project Director, NC Institute of Medicine


Healthy Opportunities of the Piedmont Meeting - May 23, 2019 at 3:00pm, PTRC

The topic of Thursday’s meeting will be Medicaid Transformation 101 and Medicaid Pilot 101.  This meeting is for anyone questioning these topics and perhaps, that is you or some of your team.  Many people have expressed to us that they are trying to understand exactly what is Medicaid Transformation, what is the Medicaid Pilot and what they may mean to their organization.  We want everyone to have a good foundation and understanding of both.  If you plan to attend this foundational session on Thursday, May 23 at 3:00pm, please RSVP to Yolanda Davenport: ydavenport@ptrc.org or 336-904-0300.

A thorough understanding of the basics is particularly important for our June meeting as we have a panel of authorities who have agreed to share their expertise with us. 


Healthy Opportunities of the Piedmont Meeting - April 18, 2019 at 3:00pm at PTRC 

April 18th Meeting notes - PTRC Gathering Healthy Opportunities Pilots

 Click here to complete the Medicaid Healthy Opportunities Pilot Survey.


Healthy North Carolina 2030 - Greensboro Community Input Session April 3, 2019

HNC 2030 Community Meeting_Indicator Worksheets_Update 3

HNC 2030_Greensboro Community Input Session Summary


RFI Drop In - Friday, March 1,2019

For anyone interested in working on the RFI or contributing ideas for specific sections, we are hosting a “RFI Drop In.”  It will be held Friday, March 1, from 10:00am – 2:00pm.  Refreshments will be available and we will be working at our Kernersville office in the large conference room.  We can also provide some technical assistance to those who plan to complete their own RFI.  If completing the entire document is too much, we can add your comments to the regional submission and beef up sections which need greater clarity. 

A submission from our region as one coordinated effort from our group will prove strong and comprehensive versus multiple submissions.  We only have this opportunity once.

Pay attention to the Service Description Template on pages 11-13, as well as, the Cost Report Exercise Worksheet that NC DHHS is requesting HSOs to complete.  PTRC is completing the LPE requirements and facilitating HSOs participation with our response.


Healthy Opportunities of the Piedmont Meeting - March 14, 2019 at 3:00pm at PTRC

Healthy Opportunities of the Piedmont Meeting Announcement- March 14, 2019

 
Agencies and Stakeholders Represented 

AARP Montgomery Council on Aging
ADRP-Triad NC School Based Health Alliance
ADTS of Rockingham NC State Government
Advanced Home Care Northwest AHEC
Alamance Eldercare Novant Health
Cardinal CFAC Optima Health
Cardinal Innovations Piedmont Triad Regional Council
Community Housing Solutions Premier Home Health Care
Cone Health - ARMC Randolph Health
Davidson Co. Senior Services Randolph Hospital
Davidson Medical Ministries Rockingham County Government
Emtiro Health Safety Net Health
Enrichment Center Second Harvest
Family Services Senior Resources of Guilford
FJC/Elder Abuse Senior Services, Inc.
Forsyth County DSS Share-A-Home
Forsyth County Government Shepherd's Center of Winston-Salem
Forsyth Futures Surry County Health and Nutrition
Friendship Adult Care The Adaptables
Goodwill Industries Greensboro Housing Coalition
Greensboro AHEC United Way of Greater Greensboro
Greensboro Housing Authority Wake Forest Baptist - Health
Guilford County DSS Well-Spring Solutions
Health Care Access Winston-Salem Transit Authority
Imagine Forsyth Yadkin Valley Economic Development District, Inc.

 


Healthy Opportunities of the Piedmont Meeting - January 22, 2019 at 3:00pm at PTRC

Healthy Opportunities of the Piedmont Meeting Announcement -January 22, 2019

NCCARE 360 Health Opportunities Slide Presentation

February 4, 2019-Prepaid Health Plans selected for Medicaid Managed Care:

The following announcement from Dave Richard with NC DHHS was shared on February 4, 2019 with NC Medicaid Associations . “Today, the North Carolina Department of Health and Human Services (DHHS) announced the selection of Prepaid Health Plans that will participate in Medicaid managed care when the program launches in November 2019. Statewide PHP contracts were awarded to AmeriHealth Caritas North Carolina, Inc.; Blue Cross and Blue Shield of North Carolina; UnitedHealthcare of North Carolina, Inc.; and WellCare of North Carolina, Inc. A regional contract for Regions 3 and 5 was awarded to Carolina Complete Health, Inc. “

“More information is available on the PHP Contract Awards Fact Sheet. Please note that this procurement is for the Standard Plans, in which 1.6 million Medicaid Managed Care beneficiaries will be enrolled. Tailored Plans, designed for certain populations with more specialized behavioral health needs, will be procured later. “


A Second meeting was held November 1, 2018 and determined:

  • Healthy Opportunities of the Piedmont will be the name of our region’s pilot proposa.
  • Piedmont Triad Regional Council should serve as the Lead Pilot Entity as determined by the stakeholders.
  • The Piedmont counties of Forsyth, Guilford and Rockingham were chosen as the initial counties in which Healthy Opportunities of the Piedmont will operate.

Healthy Opportunities of the Piedmont Meeting Announcement - November 1, 2018

Regional Pilot discussion - November 1, 2018


Healthy Opportunities of the Piedmont Meeting - October 17, 2018

North Carolina’s Medicaid program is transitioning from fee-for-service payment model to Medicaid Managed Care in 2019, which is the most significant change to the NC program in over 40 years. Four statewide Managed Care plans will provide coverage for Medicaid beneficiaries.

In preparation for this transition, a Piedmont collaboration invited Dr. Betsey Tilson, North Carolina's State Health Director and DHHS's Chief Medical Officer, to Kernersville to speak about NC’s transformation to Medicaid Managed Care and proposed regional pilots. Providers of human services, health systems and others from across the Piedmont attended Dr. Tilson’s presentation and agreed to collaborate to address social drivers of health (called Healthy Opportunities) and apply to be one of the Medicaid regional pilots.

Under Medicaid’s transformation, 2-4 regional pilots will be chosen to deliver health services that address both medical and social needs of patients. These Pilots must address four categories of Healthy Opportunities: Housing, Transportation, Nutrition and Interpersonal Violence/Toxic Stress.  Pilots will include a Lead Pilot Entity to serve as a backbone organization for the pilot initiative. Pilots should cumulatively serve 25,000-50,000 Medicaid beneficiaries and cover both urban and rural communities.

  1. NC DHHS Healthy Opportunities

    https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities

  2. NC Resource Platform

    https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/nc-resource-platform

    https://foundationhli.org/2018/08/21/ncccare360-selected-to-build-a-new-tool-for-a-healthier-north-carolina-the-nc-resource-platform/

  3. Medicaid Pilot Programs

    https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/healthy-opportunities-pilots

View North Carolina's State Health Director and DHHS's Chief Medical Officer, Dr. Betsy Tilson's October 18, 2018 PowerPoint presented at the NCIOM ACC Task Force meeting the following day.