Behavioral Health and Intellectual/​Developmental Disabilities Tailored Plan | NC Medicaid

What is this resource?

North Carolina’s Tailored Plans, launching in 2024, provide specialized Medicaid coverage for individuals with complex health needs like mental health disorders and intellectual disabilities, offering services like home support and caregiver assistance.You might be eligible for a Tailored Plan if you have NC Medicaid and health needs related to:
Serious mental illness (SMI)
Severe substance use disorders (SUD)
Intellectual/developmental disabilities (I/DD)
Traumatic brain injuries (TBI)

How to use

Apply for NC Medicaid. (If you already have NC Medicaid, skip this step.)
Your eligibility for the Tailored Plan will automatically be reviewed. Letters are sent in the mail from your Tailored Plan (Vaya Total Care, Alliance Health, Partners Health Management and Trillium Health) letting you know if you are eligible.
You can ask to move to a Tailored Plan. You or your provider can submit the form “Request to Move to NC Medicaid Direct or LME/MCO.”

Get the Resource

Resource Topic: Financial Planning, Healthcare

Resource Type(s):  Website

Resource Audience/Topic: Self-Advocates

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