North Carolina Legislature (healthcare bills) · March 25, 2025 · Primary source
NC SB 466: Ensure Continuity of Care in Tailored Plans.
Summary
North Carolina Senate Bill 466 would require continuity of care protections for enrollees in Tailored Plans, the state's specialized Medicaid managed care plans serving individuals with significant behavioral health needs, intellectual and developmental disabilities, and traumatic brain injuries. The bill passed its first reading and addresses coordination between DHHS, LME-MCOs, and health insurers. If enacted, it would impose obligations on Tailored Plan contractors to maintain care continuity for affected beneficiaries.
What this may mean
If enacted, the bill imposes continuity-of-care requirements on Tailored Plan managed care organizations in North Carolina, affecting LME-MCOs that administer behavioral health and SUD benefits for Medicaid enrollees with complex needs. The bill is at an early legislative stage, having passed only its first reading, and no effective date or specific compliance standards are yet specified in the available text.
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