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 committees and work groups engaged in this collaborative process. Click on a group title for more information.

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

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

2017 Meeting Schedule

2017 Meeting Information

June 23, 2017 (Face-to-Face)
9 a.m. –noon
Call-In Number:   919-715-0769

May 25, 2017 (Teleconference)
10 a.m. – 11:30 a.m.
Call-In Number: 919-850-2823

March 24, 2017 (Face-to-Face)
9 a.m. - noon
Call-In Number: 919-662-4657

Jan. 13, 2017 (Teleconference)
2 - 3 p.m.
Call-In Number:  919-662-4657

2015 and 2016 Meeting Information

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 26, 1-3 p.m. 

Thursday, April 27, 1-3 p.m. 
Thursday, July 27, 1-3 p.m. 
Thursday, October 26, 1-3 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

When: Third Thursday of each month
Time: 1 p.m. - 3 p.m.
Where: Dorothea Dix Campus
Kirby Building, Room 297
1985 Umstead Drive
Raleigh NC 27603

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

Next Meeting

July 20, 2017

Past Meetings

2017

May 18, 2017

Agenda
Minutes

March 16, 2017

Agenda
Minutes

Jan. 19, 2017

Agenda
Minutes
Customer Satisfaction Survey Results

2016

Nov. 17, 2016

Agenda
Minutes

Sept. 15, 2016

Agenda
Minutes
Desk Review Report

July 21, 2016

Agenda
Minutes
Client Satisfaction Survey Results

June 16, 2016

Agenda
Minutes

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

Personal Care Services (PCS) Spring Provider Trainings

PCS regional training sessions will be held May 1-May 15, 2017. Training topics and materials will be available to registered participants prior to the training dates. Providers can register through the Liberty Healthcare Corporation of NC Medicaid PCS Website. There is no cost to attend training, but registration is required.

Providers with additional questions may contact Liberty Healthcare Corporation of North Carolina at 1-855-740-1400 or N.C. Division of Medical Assistance (DMA) at 919-855-4360.

Event Dates and Locations

Monday, May 1, 2017-Greenville
Holiday Inn-Greenville, Ballroom

Friday, May 5, 2017-Raleigh
Jane S. McKimmon Conference and Training Center-NCSU, Room will be posted at Information Desk

Tuesday, May 9, 2017-Asheville
Doubletree by Hilton-Biltmore, Burghley Room

Wednesday, May 10, 2017-Charlotte
Great Wolf Lodge Convention Center, White Pine I & II

Thursday, May 11, 2017-Greensboro/Winston-Salem
Greensboro-High Point Marriott Airport, Grand Ballroom

Monday, May 15, 2017-Fayetteville
Holiday Inn Fayetteville I95 South, Grande Ballroom

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.

PDL Meetings

 

Meeting Archives

 

Recommendations and Reports

PDL Panel Members

Aug. 1, 2016 – July 31, 2018
Panel Member Position Organization
John Stancil Pharmacist Pharmacy Director, Division of Medical Assistance
Dr. Seung Kim Physician Old North State Medical Society
Dr. Ann McGee Pharmacist Hospital-Based Pharmacy
Dr. Abigail Deveries Physician Community Care of North Carolina
Dr. Casey Johnson Pharmacist N.C. Association of Pharmacists
Dr. Anna Miller-Fitzwater Physician N.C. Pediatric Society
Dr. Theodore 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 Jr. Physician N.C. Academy of Family Physicians
Dr. Andreas Maetzel Physician Research-Based Pharmaceutical Company
Dr. Lawrence Greenblatt Physician N.C. Physician Advisory Group Pharmacy and Therapeutics Committee