NC S466

Requires DHHS Division of Health Benefits to submit a 1115 waiver amendment to CMS by July 1, 2025, to allow changes to BH IDD Tailored Plans

Allows beneficiaries to remain in Medicaid Direct (fee-for-service) for physical healthcare when their providers are not contracted with the LME/MCO Tailored Plan network, as a reasonable accommodation for continuity of care

Permits beneficiaries to opt into a BH IDD Tailored Plan operating outside their region based on differing service arrays, available services, or provider networks

Requires DHHS to report to the Joint Legislative Oversight Committee on Medicaid by August 1, 2025, with recommendations for promoting competition among LME/MCOs and copies of all documents submitted to CMS

Effective upon becoming law