Ensure Continuity of Care in Tailored Plans.

SB 466 ensures continuity of care for North Carolina Medicaid beneficiaries with behavioral health and intellectual disabilities (BH IDD) who use specialized "Tailored Plans." It allows these individuals to stay in the standard Medicaid fee-for-service program (Medicaid Direct) if their current healthcare providers aren't in their Tailored Plan's network, and to choose a Tailored Plan outside their geographic area if it offers better services or provider access. The bill also requires the state to submit CMS waiver amendments by July 2025 and report to lawmakers by August 2025 on promoting competition among managed care organizations to improve care quality. These changes directly affect BH IDD Medicaid participants and aim to reduce disruptions in their healthcare.