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.

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

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
4 Carol Yates Day
5 William T. Cockerham
6 Polly-Gean Cox
7 Marilyn R. Pearson
8 Stephen A. Small
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

Meeting Schedule

Friday, Dec. 11, 2015
9:00 am - 12:00 pm

Friday, Sept. 18, 2015

Meeting Location

Division of Health Services Regulations
Brown Building (Hearing Room #104)
108 Biggs Drive
Raleigh, NC  27603

Call-in Number: 919-850-2820

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 and are open to the public.

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

Next Meeting
Oct. 22, 2015
1 pm - 3:00 pm

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


Lakeisha Laporte
Phone: 919-855-4265 or 855-761-9030

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 Stakeholder Meeting Information

When: Third Thursday of each month
Time: 1:00-3:00 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

There will be no meeting in November 2015.
The webinar originally scheduled for November 19 is postponed until December. Date and time will be announced.

Past Meetings

October 15, 2015

August 20, 2015

July 25, 2015

June 18, 2015

April 16, 2015

March 19, 2015

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

January 15, 2015


Medical Assistance
Phone: 919-855-4360

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 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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