Tag Archive for: #warrencountync

Warren County Seeks New Local Management Entity/Managed Care Organization

– press release –

Warren County is now included in the group of counties that have made a decision to move to a new Local Management Entity/Managed Care Organization (LME/MCO).   These organizations are responsible for providing behavioral healthcare services in North Carolina.  Warren County is currently served in the Cardinal Innovations Healthcare catchment area, which extends from Mecklenburg County, North Carolina, to the Virginia border at Warren County.

Effective August 3rd, Warren County will provide notice to the North Carolina Department of Health and Human Services Secretary Cohen of the County’s intent to disengage from the Local Management Entity/Managed Care Organization, Cardinal Innovations Healthcare, and realign with Eastpointe.

The Warren County Board of Commissioners approved a resolution and disengagement plan and will be seeking stakeholder and citizen feedback.

For more information, contact the County Manager, Vincent Jones, at the Warren County Manager’s Office at 252-257-3115.

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– Additional information provided by Warren County:

WARREN COUNTY PLAN TO DISENGAGE FROM CARDINAL INNOVATIONS AND JOIN EASTPOINTE LME/MCO.

On August 2nd, 2021, the Warren County Board of Commissioners voted to seek permission from the Secretary of the North Carolina Department of Health and Human Service (DHHS) to disengage from Cardinal Innovations Healthcare, a Local Management Entity/Managed Care Organization (LME/MCO) managing mental health, intellectual and developmental disabilities and substance use services. North Carolina statute 122C-115(a3) permits a county to request disengagement from a LME/MCO and to join another LME/MCO. In light of the impending merger between Cardinal Innovations Healthcare and Vaya Health, Warren County has chosen to join Eastpointe LME/MCO. The Board of Eastpoint voted to accept Warren County as a member.

We do not know how quickly this change will occur. Warren County and Eastpointe LME/MCO have requested an effective date of October 1, 2021, subject to the approval of DHHS.

  • Actions Taken in Conjunction with Resolution: The Warren County Board of Commissioners adopted a resolution to disengage from Cardinal Innovations and join Eastpointe. A letter making the request was sent to Secretary Cohen of DHHS on August 3rd, 2021.
  • The Eastpointe Board voted to accept Warren County as a member on August 3rd, 2021 and sent a letter to Dr. Cohen that same day.
  • Warren County has notified the other counties served by Cardinal and the Co-Chairs of the Joint Legislative Oversight Committee of the North Carolina Assembly of our decision.
  • Warren County and Eastpointe have jointly developed this plan to ensure a smooth transition for Warren County residents and providers which will ensure the continuity of service as the county transitions to Eastpointe.
  • Warren County affirms that it has no outstanding financial liabilities to Cardinal Innovations Healthcare.
  • Warren County affirms that there is no real property impacted by this proposed change.
  • Warren County will remain a member of Cardinal until the effective date of its realignment with Eastpointe, thereby ensuring no loss of services to residents.
  • Warren County has determined that Eastpointe meets the population requirements for a LME/MCO outlined in NC Statute and that its disengagement from Cardinal will not cause Cardinal nor Vaya to fall below those requirements.

Actions to be taken immediately:

  • Warren County and Eastpointe will publish this plan on their respective websites.
  • Warren County will issue a press release and post to its website and Facebook page a notification of its plan to disengage from Cardinal and join Eastpointe and will solicit public comment on the plan for sixty (60) days. Warren County will post the public comments on its website for thirty (30) days following the end of the public comment period.
  • Warren County will specifically request public comment from providers, consumers, advocated, self-advocates and the State and Local Consumer and Family Advisory Committees.
  • This same press release will serve as written notification to all Warren County providers of this proposed change.

Actions to be Taken Upon Approval by DHHS:

  • Eastpointe will hold Provider Fairs to enter into contracts with all providers in good standing currently serving Warren County residents. Eastpointe plans to contract with all current providers.
  • Eastpointe and Warren County will hold public meetings at least one of which will be in the evening to introduce Eastpointe to consumers, families and stakeholders and answer any questions about Eastpointe and this change.
  • Eastpointe and Warren County will hold at least one public meeting targeted to other public agencies in Warren County, such as schools, Department of Social Services, Law Enforcement, Courts, Public Health etc. to discuss the change and answer any questions.
  • Eastpointe will assess the current gaps in service in Warren County and recruit providers to address any identified gaps.