July 14, 2020                                                
Medicaid Transformation Ramping Back Up
The  new law,  SL 2020-88 , now gives a date certain, July 1, 2021, by which the Standard Plans will begin. There is a tremendous amount of detail that goes into meeting that implementation date. Of course, NC DHHS is not starting from scratch, but some of the infrastructure built to meet the previous February 2020 implementation date was deconstructed while the budget impasse continued between the Governor and the NC General Assembly. Now that the funding has been authorized and other structural authorities have been provided, NC DHHS will have the additional challenge of balancing the business of addressing a pandemic along with the start-up of Medicaid transformation.

Legislative Wrap-Up of Short Session
The NC General Assembly has effectively wrapped up the short session of the 2019-2020 biennium. With their adjournment on July 11th, any bill that did not get signed into law will now have to be reintroduced in the long session to be considered. As legislative leaders indicated, there was not one singular budget bill considered during this session. Instead, multiple bills included appropriations in specific areas of the State budget. Public policy was also changed in many areas of State government. Most notably, there is a new law that sets July 1, 2021 as the date certain that the Standard Plans for Medicaid will be implemented, and the authority to transfer the needed funds to make the transformation has been provided.

Medicaid Provider Federal Stimulus - Apply by July 20th
In June, the U.S. Health and Human Services Administration announced $15 billion in Federal stimulus funding available for providers billing CHIP, Medicaid or an MCO, when the provider had not received funding from the Provider Relief Fund. In NC that would apply to behavioral health and I-DD providers. The funding is to provide relief for those experiencing loss or increased expenses due to COVID-19.  It is important to note that the funds flow directly from HHS/CMS to providers, and that the NC Division of Health Benefits will not be coordinating them.

SAMHSA Revises 42 CFR Part 2 to Improve SUD Care Coordination 
The Substance Abuse Mental Health Services Administration announced a historic change on July 13th to the rules that govern confidentiality for patients seeking substance abuse services.

The change eases the sharing of information (with the consumers consent) among providers of services.  

"This reform will help make it easier for Americans to discuss substance use disorders with their doctors, seek treatment, and find the road to recovery," said HHS Secretary Alex Azar.

New Group Focuses on North Carolina Olmstead Plan
NC DHHS has established the Olmstead Plan Stakeholder Advisory (OPSA) to advise DHHS in the development of a statewide plan that aligns the public service delivery system with "a contemporary vision and associated values."  The Olmstead decision requires that there be a State plan with the intention of encouraging states to make significant system change.   Some of those values include:  informed choice, person-centered planning and funding alignment to priorities. 

Four State initiatives will be part of the strategy:

July is National Minority Mental Health Awareness Month 
Mental Health Resources for People of Color can be found at:
CMS Proposed Rules on Value Based Drug Purchasing 
The  Centers for Medicare & Medicaid Services (CMS) released the proposed rule Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements (CMS 2482-P).

This proposed rule advances CMS' efforts to support state flexibility to enter innovative value-based purchasing arrangements (VBPs) with drug manufacturers, and to provide manufacturers with regulatory flexibility that will encourage VBP arrangements with payers, including Medicaid. It also proposes minimum standards in state Medicaid Drug Utilization Review (DUR) programs designed to reduce opioid-related fraud, misuse, and abuse.    

Pinehurst Conference 
Going Virtual!

Keep December 2-4th marked on your calendar because i2i is taking our famous Pinehurst Conference Virtual! 

Expect the same great sessions, networking, exhibits and awards AND a special package for conference participants who might want to visit Pinehurst at a later date.

We are committed to making this event the premier virtual conference experience of 2020. 
We plan to cover topics related to:
  • NC's Medicaid managed care transformation
  • Successful procedures/practices implemented during COVID-19 that should become standard
  • Organizational, business and leadership practice adaptations to ensure success for Providers post 2020...

Conference Keynote Presenters Look to the Future 

Monica Oss, CEO Open Minds

David Houle, Futurist
We are excited to confirm two well-known speakers for our keynote presentations:  Monica Oss, CEO of Open Minds and David Houle, Futurist, Speaker and  Author.  
Monica Oss is at the top of the list of health and human service experts tracking on the national trends facing our service industry in 2020 and beyond.  As CEO of  Open Minds  her articles and presentations target industry leaders offering critical information on strategic planning, industry trends and policies driving our service system.  She will delve into COVID-19's impact on our industry, issues of sustainability in the current environment, and where leaders must be focusing efforts their efforts in 2021 and beyond.
David Houle  is often called the "CEOs' futurist" having spoken to or advised 2,500+ CEOs and business owners.  In addition he  has authored several books, his latest is a series called  The 2020s:  The Most Disruptive Decade in History   Houle will bring his expertise in identifying the trends impacting our world to i2i's Closing Plenary session.  He will help us think critically about the future of health and behavioral health care in our country as well as other changes that will affect our lives in the next decade.  This will be a live dynamic presentation from an expert with a unique perspective on how to live, work and understand the coming decade.  You will not want to miss this!

Free Webinar 
A - Zs of COVID-19 for Families and Individuals with I-DD
The i2i Center, as part of the Cross-System Navigation grant from the NC Council on Developmental Disabilities, will be hosting a FREE webinar on July 29th from noon to 1:00 p.m.   The webinar is targeted to individuals and family members with I-DD and will cover:  Personal  health & care needs during COVID-19; Wh at you need to know if you or a family member is hospitalized with COVID-19; Un derstanding your rights when visiting family members residing in congregate care settings; and  What to do if you are choosing to keep your child or family member at home and not receiving services.

Relias and Open Minds Collaborate to Equip Providers  
North Carolina Providers are preparing for business sustainability post-COVID 19, while simultaneously planning for Medicaid Transformation, executives of specialty provider organizations must embrace a new approach, going beyond their EHR, for strategic management and implementation. This is where PerformWise  can help. PerformWise is the state-of-the-art solution provider organization executive teams need to monitor, manage, and optimize organizational performance.
Executives  need the right information - both financial and clinical - and they need it integrated during the financial disruption of COVID 19 and after.  Tracking on service evolutions, such as telehealth during the current COVID 19 disruption while scenario planning for new and evolving services and service definitions, such as the case for the uninsured, requires a longitudinal clinical, quality, and financial dashboard.  

Commited to Health During COVID-19  
COVID-19 is profoundly impacting the health and well-being of North Carolinians.

UnitedHealthcare remains committed to helping people live healthier lives in our local communities.   Waiving Member Cost-Sharing through September 30, 2020
  • UnitedHealthcare member cost-sharing, including copays, coinsurance and deductibles, for COVID-19 testing and treatment has been waived
  • Non COVID-19 telehealth visits with in-network physicians are also covered at no cost to the UnitedHealthcare member 
  • Member, Providers and Employers can go to our site to obtain additional resources                 

Holly Hill Expands Raleigh Operations 

On July 1, Holly Hill Hospital announced the completion of its 11-bed expansion of its South Campus Children's Hospital in east Raleigh.  
In addition, a new CEO was named in April, Kevin Poitinger.   Learn more.

Therap Serving over 150 Providers in NC
Therap Services, LLC is the nation's leading web-based software solution that provides an integrated, HIPAA secure, HIE Compatible, ONC-HIT Certified system for the documentation, reporting, billing, and communication needs of agencies providing support for I-DD, Behavioral Health, MH, SUD and other long-term care support. It offers an easy and efficient alternative to the immense amount of paperwork that is done manually by support providers. Therap's suite of applications includes Individual Service Plans, Personal Outcomes Tracking, Incident Reporting, Behavior Tracking, Business Analytics, Billing and much more.  Visit our virtual Exhibit booth to see why over 7,000 providers nationally and over 150 providers in North Carolina use Therap Services as their EHR solution.   www.TherapServices.net  

Links of Interest

i2i News Briefs 

Past Issues Available 

 i2i Center 
Champion Supporters


  Shop on Amazon?  
Support i2i 
When You Buy!   

i2i has an 
AmazonSmile Account.   Use this link when you purchase from Amazon and the AmazonSmile foundation automatically donates 0.5% of the price of eligible purchases to the i2i Center

i2i Center for Integrative Health | | jean@i2icenter.org | http://www.i2icenter.org
1135 Kildaire Farm Road, Suite 200
Cary, NC 27511
(919) 657-0580