NC S472

Authorizes a pilot program beginning January 1, 2018 (or upon CMS approval, whichever is later) for Trillium Health Resources to manage the Community Alternatives Program for Children (CAP/C), Community Alternatives Program for Disabled Adults (CAP/DA), and Children's Developmental Services Agencies (CDSA) services within its catchment area.

Trillium Health Resources will receive capitation payments from the Department of Health and Human Services for managing these assumed services related to long-term supports for children and adults with disabilities and fragile medical conditions.

The pilot program shall operate for 36 months, with DHHS required to submit any necessary waivers, State Plan Amendments, and other regulatory documents to the Centers for Medicare and Medicaid Services.

DHHS must submit an implementation status report to the Joint Legislative Oversight Committees on Medicaid and Health and Human Services by October 1, 2017, including timeline, funding needs, and legislative recommendations.

DHHS must contract with a University of North Carolina institution to conduct an independent evaluation within 24 months of operations beginning, with costs paid by Trillium Health Resources, comparing population served, outcomes, spending, and funding sources before and during the pilot.