Committees and Work Groups

The Department of Health and Human Services and the Division of Medical Assistance are committed to working with beneficiaries, caregivers, providers, associations and other stakeholders to improve health care in North Carolina. Below is information for several of the committees and work groups engaged in this collaborative process.

Dual Eligibles Advisory Committee
Medical Care Advisory Committee (MCAC)
North Carolina Drug Utilization Review Board
Money Follows the Person (MFP)
Personal Care Services (PCS) Stakeholder Group
Preferred Drug List Review Panel

Dual Eligibles Advisory Committee

The Dual Eligibles Advisory Committee, established according to Session Law 2015-245, provides advice to the Department of Health and Human Services as it developes a long-term strategy to cover dual eligibles under Medicaid reform. The Department will report the strategy to the Joint Legislative Oversight Committee on Medicaid and NC Health Choice by Jan. 31, 2017.

Meeting Schedule

The Advisory Committee meets monthly. Meetings are open to the public.

Thursday, July 28, 2016
11:00 a.m. to 2:00 p.m.
McKimmon Conference & Training Center
1101 Gorman St.
Raleigh, NC 27606

For a complete meeting schedule, member list, agendas, presentations and other information, visit the Dual Eligibles Advisory Committee web page.

Medical Care Advisory Committee (MCAC)

Federal law requires that state Medicaid agencies have a Medical Care Advisory Committee (MCAC). MCAC members advise NC Medical Assistance on health and medical care services that may be covered by the NC Medicaid program. This includes current policy revisions and accessing services. The MCAC is advisory and does not set policy. Meetings are open to the public.

MCAC Members

The MCAC is established and governed by federal and state regulations:

The MCAC has members from the 13 congressional districts plus seven at-large seats. Each member is asked to serve a three-year term, which may vary if a seat vacated and filled before the end of the term. MCAC members are appointed by the Secretary of Health and Human Services, and consists of:

  • Board-certified physicians and other representatives of the health profession who are familiar with the medical needs of, and resources available for, the care of low-income groups
  • Director of the public welfare department or the public health department
  • Recipients and consumer organizations, such as labor unions, organizations representing the poor, civil rights organizations, business, consumer cooperatives and unaffiliated private citizens
  • Government, state and county medical societies; professional and provider associations; health insurance industry; and health and medical education

Other Requirements

  • Members must be willing to advise DHHS Medical Assistance on the impact of proposed initiatives and changes on the Medicaid Program
  • Members meet in person in a Raleigh location at least quarterly for approximately three hours, typically 9:00 am - 12:00 pm
  • Non-state employee members receive a $15 compensation for each day of service, round-trip mileage reimbursement of 25 cents per mile, and applicable subsistence according to state guidelines. If paid overnight accommodations are required, a receipt for lodging must be attached to the reimbursement request. Necessary forms will be provided at each meeting to claim reimbursement.

MCAC Members

Congressional District Represented Member Name
1 Kim A. Schwartz
2 Samuel B. Clark
3 David T. Tayloe III
4 Carol Yates Day
5 William T. Cockerham
6 Polly-Gean Cox
7 Marilyn R. Pearson
8 Stephen A. Small
9 Vacant
10 Derek T. Pantiel
11 Casey Cooper
12 Billy R. West, Jr.
13 Linda D. Burhans
At - Large C. Thomas Johnson III
At - Large Ted W. Goins
At - Large Gary R. Massey, Chair
At - Large David D. Sumpter
At - Large Paula Cox Fishman
At - Large Benjamin Koren

2016 Meeting Schedule

Meeting Information

June 3, 2016 (Face-to-Face)
Call-In Number:  919-850-2820

May 5, 2016 (Teleconference Meeting)
Call-In Number: 919-662-4658

April 15, 2016 (Face-to-Face Meeting)
Call-In Number: 919-662-4657

March 23, 2016 (Meeting Via Teleconference)
Call-In Number: 919-850-2820

2015 Meeting Schedule

Friday, Dec. 11, 2015
9:00 a.m. - noon

Friday, Sept. 18, 2015

NC Drug Utilization Review Board

The NC Medicaid Drug Utilization Review (DUR) program for outpatient drugs ensures Medicaid recipients receive appropriate, medically necessary prescriptions that are unlikely to result in adverse medical events.

NC DUR Board meetings are held quarterly in the following location. They are open to the public.

Health and Human Services, Medical Assistance
Kirby Building, Room 297
1985 Umstead Drive
Raleigh, NC 27603

Meetings

Thursday, January 28, 2016, 1 p.m. -3 p.m.

Thursday, April 28, 2016, 1 p.m. -3 p.m.

Thursday, July 28, 2016, 1 p.m. -3 p.m.

Thursday, October 27, 2016, 1 p.m. -3 p.m.

Money Follows the Person Roundtable / Volunteering

Join the MFP Roundtable, receive MFP updates and meeting notices. If you are interested in supporting MFP, complete and submit the Volunteer Form or call for information

Contact

Lakeisha Laporte
Phone: 919-855-4265 or 855-761-9030
EmailLakeisha.Laporte@dhhs.nc.gov

Personal Care Services (PCS) Stakeholder Group

The Personal Care Services (PCS) Stakeholder Group provides citizens interested in the development and implementation of Personal Care Services with the opportunity to collaborate and share recommendations. The N.C. Department of Health and Human Services meets monthly with community stakeholders to share project status, gather input and identify next steps.

To join the PCS Stakeholder Group, call 919-855-4360 or send an email to PCS_Program_Questions@dhhs.nc.gov.

PCS Stakeholder Meeting Information

Webinar - PCS Program Update - Wednesday, Jan. 6, 10 a.m. - noon

When: Third Thursday of each month
Time: 1 p.m. - 3 p.m.
Where: Dorothea Dix Campus
Kirby Building, Room 297
1935 Umstead Drive
Raleigh NC 27603

Request a topic for discussion (please submit at least 1 week in advance of the meeting date)

Next Meeting

Past Meetings

  • 2016

April 21, 2016
Agenda
Minutes

March 18, 2016
Agenda
Minutes

January 21, 2016

Agenda
Minutes

  • 2015

October 15, 2015
Agenda
Minutes

August 20, 2015
Agenda
Minutes

July 25, 2015
Agenda
Minutes

June 18, 2015
Agenda
Minutes

April 16, 2015
Agenda
Minutes

March 19, 2015
Agenda
Minutes

February 19, 2015
Agenda
Meeting Record
Webinar Presentation (ACH PASRR Presentation)
PASRR Screening Form
Other Handouts
Frequently Asked Questions (FAQ)
Authorization Codes

January 15, 2015
Agenda
Minutes

Contact

Medical Assistance
Phone: 919-855-4360
Email: PCS_Program_Questions@dhhs.nc.gov

Preferred Drug List Review Panel

The Medicaid and Health Choice Preferred Drug List (PDL) Review Panel was established by DHHS to conduct open meetings to discuss recommended policies and procedures related to the PDL and to address the public comments that were received during the PDL comment period. The administration and review of the North Carolina Medicaid and Health Choice PDL follows the Preferred Drug List Review Panel Guidelines and Procedures.

Approved recommendations from the Medicaid PDL Review Panel:

PDL and Supplemental Rebate Program SFY 2015 Annual Report

PDL and Supplemental Rebate Program SFY 2014 Annual Report

PDL Panel Members

July 2015 through July 2016
Panel Member Position Organization
John Stancil Pharmacist Pharmacy Director, Division of Medical Assistance
Dr. Jonathan Weston Physician Old North State Medical Society
Dr. Paul Bush Pharmacist Hospital-Based Pharmacy
Dr. Lawrence Greenblatt Physician Community Care of N. C.
Dr. Erin Dalton Pharmacist N.C. Association of Pharmacist
Dr. Steve Wegner Physician N.C. Pediatric Society
Dr. Ted Zarzar Physician N.C. Psychiatric Association
Dr. Byron J. Hoffman Physician N.C. Chapter of the American College of Physicians
Dr. Robert L. (Chuck) Rich Physician N.C. Academy of Family Physicians
Dr. Andreas Maetzel Physician Research-Based Pharmaceutical Company
Dr. Beat Steiner Physician N.C. Physician Advisory Group Pharmacy and Therapeutics Committee
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