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PO Box 1658

Boone, NC 28607


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NCARF News and Useful Updates




NCARF - Working Together to Impact Change

March 2016 Newsletter

NCARF Spring Conference 

Register by 3/28/2016

Please join us to "Ride the Waves of Federal and State Changes" at our 2016 Spring Conference at Carolina Beach April 28th-29th 2016. Hotel reservations must be made by 3/28/2016 in order to book at the conference rate.

If you have any questions, please feel free to contact Lauren Spencer at 336-506-2530 or

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1115 Waiver Update

The Joint Medicaid and NC Health Choice Oversight Committee met on March 1, 2016 to review the Department of Health and Human Services 1115 waiver draft. This waiver is a demonstration project for a fully capitated Medicaid program in North Carolina. Here are several of the key points that were presented to the committee:

1. 1115 Waiver draft was met with rather good support from legislative leadership.

2. I/DD was mentioned in the way of a DD health home.

3. It is clear the new contracts will be stronger and will have built into them more rewards for meeting outcomes and also stronger punitive measures if you miss desired health outcomes. (these are contracts with the PHP and PLE)

4. There were no changes to current legislation/statute to benefit the long term existence of the LME/MCO network. This means that the original time line of four years after the first contract still stands.

5. There was no discussion about state dollar services or how they fit into this plan.

6. There was discussion and presentations around the need for one standard credentialing system, one billing system and one data system. Also a need for more robust HIE in order to make this entire thing work. Rates were also discussed; it is clear that rates in some areas of Medicaid will need to be raised prior to capitation.

7. The only legislative changes suggested were the following: do not include CDSAs in the waiver, do not include Medicaid services from LEAs in the waiver and permit parents of kids in foster care to remain on Medicaid while their child is in foster care to set up a way for the family to be reunited.

What's next…there will now be a series of listening sessions/public comment across the state.

Here is the link to the DHHS Medicaid Reform website with all the waiver information:

Comments can be made on the 1115 draft until April 18th, 2016 here:


Member Updates

JCI Celebrates 40 Years: JCI was established in 1975 as a 501(c)(3) community rehabilitation facility to evaluate, train, and return individuals with vocational barriers to employment. It was the vision of Mr. Nolan Hinson who wanted a place of coordinated services dedicated to people with disabilities seeking employment.The company has also expanded services to persons with mental health and substance abuse barriers through new Individual Placement and Support, and behavioral health programs. Historical milestones have been reached by empowering people through vocational training, job placement, and school and youth programs where we now serve 5 counties through our 9 locations.

Martin County 2015 Business Leader: Martin Enterprises’ Director, Becky Bullock, was recently recognized at the Martin County Annual Membership and Industry Appreciation Banquet as the 2015 Business Leader. The annual event is presented by the Martin County Chamber of Commerce, Martin County Economic Development Corporation and Martin County Committee of 100.
NC Innovations Waiver Extension Requested

The Division of Medical Assistance has made a request to the Centers for Medicare and Medicaid Services to change the requested implementation date of the Technical Amendment to the NC Innovations Waiver from April 1, 2016 to July 1, 2016.

Click here for full details:

NCARF Leadership


Heads of Committees and contact info:
Communications Committee: George Marshall, Haywood Vocational Opportunities
Training Committee: Patricia Little, Johnston County Industries (
Website Committee: Alicia Camacho, Durham Exchange Club
Marketing Committee: Don Hoover, Coastal Enterprises
Board Members starting in July:
Board President: Cheri Howell, Community Workforce Solutions,
Vice President (President Elect): Ericka Simmons, Diversified Opportunities,
Past President: Melissa Baran, The Enrichment Center,
Secretary and Treasurer: George Marshall, Haywood Vocational Opportunities,
Regional VP West: Steve Early, Foothills Industries,
Regional VP Central: Shawn Poe, Chatham Trades,
Regional VP East: Brenda Cogdell, Tri County Industries,
Members at Large:
David McGrady, Wilkes Vocational Services,
Alicia Camacho, Durham Exchange Club
Non-voting members of the Board:
Regional VP Elect West: Virginia Walker, Watauga Opportunities
Regional VP Elect Central: Tracey Craven, OE Enterprises (
Regional VP Elect East: Holly Perry, Beaufort County Developmental Center (
Legislative Chair: Michael Maybee, Watauga Opportunities
Training Chair: Patricia Little, Johnston County Industries (

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