WEBLME/MCOs, or Local Management Entity/Managed Care Organizations, are companies that: manage NC Medicaid Tailored Plans; coordinate certain services for NC Medicaid Direct beneficiaries; coordinate certain services for EBCI Tribal Option members; There is one LME/MCO for each county.
WEBLast Updated. January 24, 2022. Contact Information. NC Department of Health and Human Services. 2001 Mail Service Center. Raleigh, NC 27699-2000. Customer Service Center: 1-800-662-7030. Visit RelayNC for information about TTY services. Follow Us.
WEBPlan, the North Carolina General Assembly in October directed the Secretary for the North Carolina Department of Health and Human Services to reduce the number of Local Management Entity/Managed Care Organizations (LME/MCOs) to a total of no more than five, and at least four.
WEBThe LME/MCO Consolidation (combination) is meant to help the Tailored Plan launch. NC Medicaid, DMH/DD/SUS and LME/MCOs are working together to get ready for Tailored Plan launch July 1, 2024.
WEBThe map below shows the future coverage area for each future Tailored Plan as of July 2022. Note: The Bladen County move from Eastpointe to Trillium did not result from an LME/MCO dissolution and is therefore governed by the statute and administrative rules covering disengagements.
WEBNC DHHS: LME/MCO Directory | Directorio LME/MCO What is this resource? Maps out local management entity/mange care organization throughout the state of North Carolina providing each organization’s contact information.
WEBNov 2, 2023 · Map of LME-MCO catchment areas PRIOR to announced consolidation for reference: (source: https://www.ncdhhs.gov/lme-mco-maps-actual-2-1-22) Tags: Medicaid Managed Care , Tailored Plans
WEBOct 26, 2021 · The top priority for DHHS and the LME/MCOs during the transition period is to promote the stability of the LME/MCO system and ensure minimal disruption for Cardinal members, the LME/MCOs taking on new counties, and their provider networks.