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Transition of Care Coordination

Transition of Care Coordination Program Overview

The Transition of Care Coordination Program is responsible for providing community options for transitioning beneficiaries from institutional care to community-based living and for beneficiaries transitioning from managed care to Medicaid Direct. 

Institutional Care to Community – Based Living 

Acentra Health will serve as the Local Contact Agency (LCA), responsible for providing interested Nursing Facility (NF) residents with options counseling for transitioning from a facility back to the community. 

The LCA coordinates these face-to-face conversations with the person residing in the facility, the facility point of contact and as appropriate, family members or other supports after a referral has been made by a skilled nursing facility. 

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Managed Care to Medicaid Direct

The North Carolina Department of Health and Human Services (NCDHHS) has developed policies and procedures to support beneficiaries who transition between NC Medicaid Direct and NC Medicaid Managed Care delivery systems. The Transition of Care is designed to maintain continuity of care for each beneficiary and minimize the burden on providers during transition. 

Acentra Health will help facilitate the transition of Medicaid services for beneficiaries who disenroll from a managed care plan and return to Medicaid Direct. 

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How to Apply for Medicaid

To be considered an eligible beneficiary for services, a beneficiary must be enrolled in NC Medicaid. For more information and instructions on how to apply please see NC Medicaid.