State Policy · NC
North Carolina Tailored Plans Integrate Care for Children with Complex Needs
North Carolina's Tailored Medicaid managed care plans provide integrated physical health, behavioral health, and I/DD services for children and youth with chronic and complex conditions. The Tailored Plans, which launched statewide, aim to coordinate care across multiple service systems for beneficiaries with intellectual and developmental disabilities and serious behavioral health needs. The model assigns these members to specialized managed care organizations designed to address their unique needs. This approach represents North Carolina's strategy to improve care coordination and outcomes for its most vulnerable pediatric Medicaid population through specialized managed care delivery.
Why it mattersNorth Carolina's Tailored Plan model offers a blueprint for other states designing integrated managed care programs for high-need pediatric populations with I/DD and behavioral health conditions.