Managed Care

North Carolina is now tracking babies born with alcohol or drug dependencies.
Tulane Publications / Flickr, Creative Commons

Open enrollment began this week for 540,000 Medicaid recipients in North Carolina who will be transitioning from fee-for-service to a managed care system.

"This change is the most signifigant one that has happend in the Medicaid program since its inception," said Debra Farrington, chief of staff of the N.C. Medicaid program.

Farrington said enrollees will be asked to select from a number of pre-paid health plans administered by private entities contracting with the state and physicians.

A picture of a young man with his head in his hands.
Sander van der Wel / Wikipedia

More adults are coming under the legal authority of guardians. Many adults who are declared incompetent by a court have a relative who takes over guardianship. But for those who don't, the state takes over that role.

The North Carolina Department of Health and Human Services said in an e-mail that there were about 3,000 adults with public guardians in 2007. That number is expected to double by about 2017.