The PTRC is monitoring COVID-19 and incorporating operational modifications as needed to protect the citizens we serve, our members, our partners, and our staff.  Our office will re-open on Monday, May 18th to staff, however, the office is still closed to visitors without a prior appointment.   Where applicable, meetings will continue to be held via teleconference. Staff will be available via phone and email. More

NC Medicaid Policy Papers and Articles

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Please consult the links and documents below to learn more about Medicaid Transformation and its components.

Policy Papers

NC Medicaid Proposed Program Design includes the following North Carolina Department of Health and Human Services (NC DHHS) policy documents:

  • Section 1115 Demonstration Waiver
  • Proposed NC Medicaid Managed Care Program Design
  • Provider Rate Floor and Reimbursement Scenarios
  • Public Hearings and Listening Sessions

NC Medicaid Policy Guidance Documents and Papers contains documents with  

  • NC DHHS policies that govern NC Medicaid Managed Care programs
  • Technical details and features of Medicaid Managed Care programs to inform providers, health plans and others interested in Medicaid Managed Care 


Articles and Research Papers

The following article and abstract from May 2019 describe qualitative methods researchers used to examine how Medicaid funding was used to support social interventions in Oregon and California.

This December 2018 report from the Center for Health Care Strategies examines 40 Medicaid managed care contracts and 25 approved Section 1115 demonstrations to identify common themes in addressing Social Determinants of Health (SDOH).

Seema Verma, Administrator of the Centers for Medicare & Medicaid Services (CMS), writes about the federal government’s approval of North Carolina’s 1115 Medicaid Waiver in this 2018 article.