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.
Upcoming Meeting Dates for Healthy Opportunities of the Piedmont
August 22, 2019 at 3:00pm, Piedmont Triad Regional Council Large Conference Room
Healthy Opportunities of the Piedmont Meeting - June 19, 2019 at 3:30pm, PTRC
- Kevin Moore, Vice President, Policy –Health and Human Services, UnitedHealth care, Wisconsin
- Ted Rooney, Healthcare Quality Consulting, Maine
- Chris Esguerra, Senior Medical Director, Blue California, California (Member of the NC Medicaid Pilot Advisory Panel)
- 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: firstname.lastname@example.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
Healthy North Carolina 2030 - Greensboro Community Input Session April 3, 2019
- HNC 2030 overview
- Advancing HNC 2030 Through Community Partnerships.
- The Final Report with recommendations for the Task Force on Accountable Care Communities is available HERE.
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
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 - February 5, 2019 at 3:00pm at PTRC
Risk Factor 1 - Housing Breakout Notes
Healthy Opportunities of the Piedmont Meeting - January 22, 2019 at 3:00pm at PTRC
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. “
Healthy Opportunities of the Piedmont Meeting - December 18, 2018
Healthy Opportunities of the Piedmont Meeting - November 27, 2018
Risk Factor 1 - Housing Breakout Notes
Risk Factor 2 - Nutrition Breakout Notes
Risk Factor 3 - Transportation Breakout Notes
Risk Factor 4 - Interpersonal Viiolence Breakout Notes
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 - 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.
- NC DHHS Healthy Opportunities
- NC Resource Platform
- Medicaid Pilot Programs