North Carolina
Providers key in NC’s push to launch delayed Medicaid plans for complex populations
After multiple delays, the North Carolina Department of Health and Human Services says it’s “on track” to implement specialized Medicaid plans this summer that are designed for beneficiaries with complex needs.
Now scheduled to launch on July 1, the so-called “tailored plans” are expected to cover about 150,000 existing Medicaid participants who require more extensive care and support than typical enrollees. Many people with intellectual or developmental disabilities, traumatic brain injuries, complex psychiatric disorders and substance use disorders will be moved to the plans, according to DHHS.
Unlike standard Medicaid plans, the tailored plans will be administered by a network of four state-funded behavioral health organizations, or LME-MCOs. For the past decade, these regional managed care organizations have been providing access to behavioral health services for people with complex needs across the state, sometimes operating under a cloud of controversy.
Now, they have been tasked with connecting tailored plan participants to physical and mental health care providers.
The tailored plans were initially scheduled to go live in December 2022, but DHHS delayed the launch to give the LME-MCOs more time to prepare. Additional delays were announced last year, with the department citing a lack of buy-in among some providers.
Jay Ludlam, the state’s deputy secretary for Medicaid, gave lawmakers an update on the plans’ status as part of Tuesday’s meeting of the Joint Legislative Oversight Committee on Medicaid. The LME-MCOs, he said, have “made significant progress in closing any remaining gaps in their networks.”
Push for more providers
Ludlam told the committee that DHHS established an internal “disruption standard” after the most recent delay. The department’s goal was to ensure that at least 80 % of tailored plan participants would “not be disrupted in their current relationships” with providers.
“Our focus has been on those families that […] have worked with certain care teams for years, often since birth, to provide care to their loved ones,” Ludlam said. “We also saw pressures from others who wanted, as much as possible, to ensure that we as a department recognize that it’s not only just the provision of services, [but] also who’s providing those services … that is important to those families.”
He said that federal regulators were OK with the 80% goal last spring, but they want at least 90% of the state’s tailored plan participants to have the option of staying with their current provider in order for the plans to launch this July.
That rankled committee member Sen. Ralph Hise (R-Spruce Pine), even though he’s long been critical of the LME-MCOs.
Hise said he was concerned that the higher standard required by the Centers for Medicare and Medicaid Services would force the LME-MCOs to “sign contracts that might not be in the best interest of their system.” Some providers, he said, were already dissatisfied with the reimbursement rates that the LME-MCOs were offering for services.
“Then CMS kind of steps in and says, ‘First of all, you have to have 80 [%] and now you have to have 90 [%],’ and suddenly these contracts are getting signed,” Hise said. “I mean, somebody stuck their nose in a contract dispute, told them who they had to sign with and, in effect, what rates they had to sign for.”
Ludlam responded by pointing out that the issues with provider contracting “are sometimes not about money.”
“They’re about how many lives the tailored plans were managing, and that it wasn’t sufficient for the systems to basically bother to pick up the pen and sign those contracts,” he said. “By focusing on what the members need, and of course monitoring the potential impact on rates, I do believe that we will not only protect people through this process, but that we will be able to get to go live on July 1.”
One factor in creating a Medicaid plan is the quest for “network adequacy” — the ability for a patient to find the care they want and need close to home. This means the plans’ managers have to contract with hundreds, sometimes thousands of health care providers throughout a region.
Ludlam noted that two of the state’s LME-MCOs recently contracted with a “large system” to accept tailored plans. Ludlam declined to share the system’s name, but Charlotte-based Atrium Health had previously been identified as a significant holdout in the state’s push to enlist providers. A spokesperson for Atrium did not immediately respond to email from NC Health News on Wednesday.
Ludlam said DHHS has not “re-measured” the potential disruption of existing patient-provider relationships since the unnamed system came aboard.
“If I were to highlight any potential risk to go live, it is whether or not the tailored plans will be able to close out some of those other contracts that are going to be necessary to minimize the disruption for consumers and members,” Ludlam said.
He added that DHHS will make a “go or no-go decision” in April on the July 1 rollout date if the LME-MCOs have not contracted enough providers to satisfy CMS’ requirement by then.
“If we really saw a high risk of potential member harm for individuals, we would do what is necessary to protect people,” Ludlam said of the possibility of another delay. “We would want to work very closely with CMS to make sure that if they’re declaring that we’re unable to go live, that they’re doing it based on the best available data and for all the right reasons.”
Rollout riding on LME-MCOs
Ludlam said the burden of contracting enough providers to maintain continuity of care for tailored plan patients will largely fall on the LME-MCOs. They know the “individuals who might be at risk” and “where they are,” he said.
“The work is going to be on them,” he said. “I think generally they are very close to getting contracts with these care teams, and we will continue to monitor it over the next couple of months.”
The implementation of tailored plans will follow a consolidation that left the state with four LME-MCOs instead of its previous six. Sec. Kody Kinsley, head of DHHS, ordered the consolidation in November to streamline the plans’ rollout.
Trillium Health Resources took control of Eastpointe Human Services under the consolidation, creating a single organization to serve 46 counties across eastern North Carolina. Another LME-MCO, the Sandhills Center, was dissolved in connection with the consolidation.
The remaining organizations include Vaya Health, which serves most of the western part of the state, and Alliance Health and Partners Health Management, which together cover a mosaic of counties in central North Carolina.
Ludlam said his “Day One goals” for tailored plans are to “make sure that members have cards in hand, that the health plans have sufficient networks, that providers can get paid and that members can have access to those health plans in order to understand their benefit, understand who they’ve been assigned to and make sure that they can get care.”
This article first appeared on North Carolina Health News and is republished here under a Creative Commons license.
North Carolina
Disputes grow between NC Bar, legislative committee tasked with reforming it
A North Carolina legislative committee is drawing passionate support — and criticism — as it pushes forward with recommendations to inject more secrecy and politics into a group tasked with disciplining lawyers across the state.
The committee plans to meet again this week, fresh off a dramatic hearing Tuesday, during which members of the committee sniped at one another, at least one appeared to have had no idea they’d be asked to vote on one particularly contentious item, and security had to forcibly eject a former state lawmaker who had refused to stop yelling accusations from a podium.
The target of that speaker, as well as the committee he was addressing: the North Carolina State Bar, a regulatory board in charge of licensing and disciplining North Carolina’s lawyers.
It’s the central focus of the State Bar Grievance Review Committee, which has tussled with the Bar and its supporters in the state’s legal community as it has sought to investigate allegations of cancel culture against politically outspoken lawyers and as it has recommended other reforms or demanded political inquisitions.
The committee, created in 2024, is a rarity in North Carolina: It consists of zero members of the state legislature. It’s led by Larry Shaheen and former state Sen. Woody White, two GOP insiders close with Republican state Senate leader Phil Berger. It can’t make changes on its own but can recommend them to the state legislature for approval.
Some previous suggestions by the committee have won broad and bipartisan approval at the state legislature, such as limiting who can report lawyers to the Bar.
But its most recent proposals — including making lawyer discipline a more secretive process, controlled entirely by political appointees — has raised concerns inside the Bar, as well as with some of the lawyers who make a living fighting the Bar on behalf of their clients.
Some of the new changes Shaheen and others on the committee are backing would ban non-lawyers from being involved in hearings of the Bar’s Disciplinary Hearing Commission, which is tasked with deciding whether — and how harshly — to crack down on lawyers accused of things such as stealing clients’ money, sleeping with clients or abusing drugs or alcohol.
The committee also wants to staff the Disciplinary Hearing Commission entirely with political appointees — almost all of them Republicans — and decrease transparency in the process, making more details confidential.
The Bar has deep reservations about those and other proposed changes, saying they’ll harm its goal of protecting members of the public from predatory or simply bad lawyers. The committee has not asked for the Bar’s input during this process, and relations between the two groups have become strained.
State Bar Executive Director Peter Bolac told WRAL he questions the need for these changes, which he said appear to have been put together “without broader input or a comprehensive understanding of the State Bar’s work.”
Bolac was at the most recent hearing on the changes, but he wasn’t invited to speak — whether to provide his own presentation, or to answer questions and concerns. He told WRAL the committee should attempt to learn how the Bar works, first, before trying to change it.
“Without a clear and shared understanding of how the current system functions, it is difficult to engage in a meaningful discussion about potential improvements,” Bolac said. “Nevertheless, we remain willing to participate in thoughtful, good-faith dialogue aimed at strengthening the system.”
Shaheen says he knows firsthand how the process works, having served on Disciplinary Hearing Commission he and his committee are now targeting. And he sees it as his mission to drastically change the way it operates, saying he has lost friends because of his association with it. “I have several lawyers, who have been long term friends of mine, who have come to me and, because of some of the things said to them, feel like I’m the devil,” Shaheen said.
‘Radical changes’
The committee’s most recent meeting was just the latest in the committee’s years-long attempt to make reforms to the Bar.
Alan Schneider, who has represented more lawyers facing disciplinary hearings than perhaps anyone else in North Carolina, often finds himself at odds with the Bar. He previously gave a formal presentation to this same committee on suggestions to reform it.
But he says the latest suggestions, to ramp up the political appointments, go too far.
“There were problems in the past in terms of maybe old cases weren’t heard as quickly as they could,” Schneider said. “But the changes were made. The State Bar heard, and the State Bar has acted. What I’d like this panel to understand is the necessity for all these radical changes. I believe it is unnecessary.”
White and Shaheen said the changes are necessary. Shaheen said increasing political control over the Bar would increase accountability, by making members of the Bar answer to politicians who ultimately answer to the people.
Under the new proposal, 19 of its 26 members would be chosen by various Republican politicians and the remaining seven would be chosen by Democratic Gov. Josh Stein.
“To have more folks appointed by public officials, we want to create more accountability, to make sure that the process is not weaponized against attorneys,” Shaheen said at the committee’s meeting on Tuesday.
White defended the push for less transparency.
“Nowadays when you can weaponize allegations in a nanosecond and publish them, put them out in a political context … that is unfair, for a lawyer to be accused of something before he or she is convicted of it,” he said.
‘Such sweeping reforms’
The committee is set to meet again Wednesday. The committee hadn’t released information on what issues it plans to discuss, but it’s expected to be closely watched by the state’s legal community.
The relative lack of public notice on what this committee is considering also raised the ire of interested parties at last week’s meeting.
Jane Meyer, a Tharrington Smith attorney in Raleigh who also chairs the Bar’s disciplinary group, questioned why the proposals voted on Tuesday were only made public a few days beforehand, and with no opportunity for the Bar — or the general public — to respond.
White had originally attempted pushing through a vote Tuesday without allowing members of the public to speak. But he relented after Andrew Heath, a conservative lobbyist who serves on the committee, urged him to allow Meyer and other members of the public to have two minutes each to give brief comments.
“That troubles me — that such sweeping reforms are being considered without much study, and without asking for input,” Meyer told the committee.
Given the sweeping nature of their recommendations, Wake County District Attorney Colon Willoughby suggested the committee should “do a little bit more study and maybe get a little bit more information.”
Willoughby specifically criticized the proposal to make it harder for members of the public to learn about accusations against attorneys.
“We should not be trying to restrict and make things more confidential,” he said. “We should make it more open. The public needs to have quicker and more complete access. I think people find their lawyers now, not from their Sunday school class or their bowling league or their Lions Club, but through the internet searches. They want information.”
They were among the passionate speakers at the hearing, but perhaps not the most passionate.
Two-plus hours into its most recent hearing on Tuesday, former state Rep. Edwin Hardy had his mic cut off and then was escorted out of the room by security. He was several minutes into speaking during the open public comment period as his comments turned into a rant involving former President Barack Obama, the late Gov. Jim Hunt, allegations of political favoritism, cocaine usage and more.
Hardy, a Republican who used to represent Beaufort County in the state House, was the only one ejected — even though he was also one of the few speakers who appeared to support the committee’s goal of major overhauls to the Bar. His comments were in line with the allegations White, Shaheen and others have been claiming for years about cancel culture.
“I got very vocal online because Obama won,” Hardy told the committee. “… Well guess what: I was very vocal, and the day after Obama won reelection, I got a phone call and the Bar told me I had been randomly picked for an audit.”
State records show that that 2012 audit found Hardy had been using poor accounting practices with trust accounts where he held onto money for clients — including taking actions that “allowed entrusted funds to be disbursed in a manner not authorized by or for the benefit of the client.”
However, the Bar found he didn’t steal any of the money, and that there wasn’t any evidence of his clients being harmed by his trust fund missteps. It allowed him to continue practicing law.
North Carolina
2 Candidates Emerge in NC State’s Coaching Search
RALEIGH — NC State replaced Kevin Keatts with Will Wade in March 2025, introducing him 368 days ago in front of the Wolfpack community at Reynolds Coliseum. A little over a year later, Wade decided to leave his new program to return to LSU, the school that fired him for cause in 2022, beginning a long journey back to Power Four basketball.
Now, athletic director Boo Corrigan and the rest of the NC State administration must find a new leader for the men’s basketball program. To make matters more complicated, they won’t have a lot of time to do so, as the new head coach needs to be in place firmly before April 7, the day the transfer portal opens. However, early noise indicates the group in charge has eyes on two candidates.
Who are the candidates?
According to multiple reports, Corrigan and other power brokers at NC State zeroed in on Saint Louis head coach Josh Schertz and Tennessee associate head coach Justin Gainey as the primary two candidates for the opening. Both names were expected to be in the mix as soon as the Wade exit became more and more likely, although Corrigan shared no specific names during his Thursday press conference.
The NC State University Board of Trustees hosted an emergency meeting on Friday, with the primary subject being Wade’s buyout negotiation. Of course, speculation began quickly that there were discussions about the next coach of the Wolfpack, but that’s been confirmed not to be the case in the behind-closed-doors meeting for the board.
NC State Board of Trustees emergency meeting related to change in term of Will Wade’s buyout (from $5M to $4M, as AD Boo Corrigan said yesterday) not a new coach hire. Quickly went into closed session. No public business.
— Brian Murphy (@murphsturph) March 27, 2026
Even so, it seems as though NC State plans on making a strong push for Schertz first, despite his status as head coach at Saint Louis still and his recent agreement to a contract extension. That certainly makes things more complicated, but hiring Schertz would allow NC State to maintain any sort of positive momentum established by Wade and his regime in Raleigh. Still, Corrigan isn’t totally committed to a sitting head coach.
“I don’t think it has to be a sitting head coach at this point,” Corrigan said. “I think we want to find someone that knows how to coach and is a great coach, and has the ability to connect with people, both internal and external, with the players, be able to recruit. You have to be a good recruiter in this day and age.”
NC State will move as quickly as it possibly can, with Gainey and Schertz atop the list. That doesn’t rule out other options entirely, but all signs point to one of them being the most likely to be the next coach of the Wolfpack, ending the Will Wade era as quickly as it started.
North Carolina
NC offshore wind project canceled as $1B deal shifts investment to fossil fuels
A planned offshore wind project off North Carolina’s coast that could have powered roughly 300,000 homes has been scrapped after the federal government agreed to spend nearly $1 billion to halt its development, a decision that is drawing sharp reactions and raising questions about future energy costs in the state.
Under the agreement, the French energy company TotalEnergies will be reimbursed for leases it purchased in federal waters near Bald Head Island. In exchange, the company will redirect that investment into oil and natural gas projects, including liquefied natural gas (LNG) production.
The move comes as electricity demand in North Carolina and across the Southeast is rising, driven by population growth and the rapid expansion of energy-intensive data centers.
Energy analysts say removing a major potential source of power from the pipeline could have lasting implications.
“I think folks are trying to figure out how to reconcile this with the fact that we do need more electrons on the grid,” said Katharine Kollins, president of the Southeastern Wind Coalition. “Every state right now is looking at how we can develop more energy, not how we should be taking options off the table.”
The canceled project, known as Carolina Long Bay, was one of two offshore wind developments TotalEnergies had planned along the East Coast. The North Carolina portion alone would have generated about 1,300 megawatts of electricity and brought significant economic development to the region.
State leaders were quick to criticize the decision. In a post on X, Gov. Josh Stein said the Trump administration is “spending nearly $1 billion in taxpayer money to pay off a company to stop investments in the clean energy we need,” calling it “a terrible deal for the people of North Carolina and our country.”
The Interior Department, which negotiated the agreement, defended the move, saying offshore wind projects are too costly and unreliable to meet the nation’s energy needs. In a statement, officials said redirecting investment toward natural gas would provide “affordable, reliable and secure energy” while strengthening grid stability.
The debate reflects a broader divide over how to meet growing electricity demand while keeping costs down.
Offshore wind projects typically require high upfront investment but have no fuel costs once operational. Fossil fuel plants rely on fuel that can fluctuate in price.
“Using a billion dollars of taxpayer money to remove an option for North Carolina and then require that company to invest in LNG just doesn’t feel right,” Kollins said.
She and other advocates argue that offshore wind could help stabilize energy prices over time by diversifying the state’s power mix, particularly during periods of high demand or fuel volatility.
The federal government and industry leaders backing the deal say natural gas offers a more dependable source of power, especially as the grid faces increasing strain.
Part of that shift now points to LNG, which is traded on a global market. That means prices can rise or fall based on international demand, geopolitical tensions and export levels — dynamics that do not affect wind energy.
The cancellation also highlights uncertainty around offshore wind development in North Carolina. Duke Energy, the state’s largest utility, holds a neighboring lease in the same area but paused development last year as it reevaluated costs and policy conditions.
As state regulators and utilities map out how to meet future demand, the loss of Carolina Long Bay narrows the range of options.
For residents, the stakes may ultimately show up in monthly bills.
“When we limit our choices,” Kollins said, “we limit our ability to control costs.”
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