Healthy Opportunities of the Piedmont

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The North Carolina Department of Health and Human Services is dedicated to improving the health and well-being of all North Carolinians. In support of this goal, the Medicaid and NC Health Choice programs will transition to Medicaid Managed Care in 2019--the most significant change to the NC Medicaid program in over 40 years. 

On October 17, 2018 Dr. Betsey Tilson, North Carolina's State Health Director and DHSS's Chief Medical Officer, spoke to to a group Human Service Providers and stakeholders from across the state to speak about the 1115 Medicaid Waiver which is a part of North Carolina's tranformation plan to a Managed Care System for Medicaid.  

 Agencies and Stakeholders Represented 

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

Section 1115 Demonstration Waiver

On Oct. 24, 2018, the federal Centers for Medicare and Medicaid Services (CMS) approved North Carolina's 1115 Demonstration Waiver application submitted November 2017. The approval is effective Jan. 1, 2019 through Oct. 31, 2024.

Read more about the 1115 Demonstration Waiver from the North Carolina Department of Health and Human Services here.

View North Carolina's State Health Director and DHSS's Chief Medical Officer, Dr. Betsy Tilson's Powerpoint here.

View the DHHS Medicaid Managed Care Policy Papers with focus on specific subjects related to the NC Medicaid Managed Care design here.

View the Medicaid Managed Care Requests for Proposals here. 

Below is the list of applicants who have submitted a bid to the North Carolina Department of Health and Human Services.

 Aetna  AmeriHealth Caritas North Carolina
 BCBSNC - Healthy Blue  Carolina Complete Health
 My Health by Health Providers  Optima Health
 United Health Care  WellCare Health Plans