Note: Year 2 program design is showing up in webinar decks and vendor forms months before it shows up in solicitations, and that is where the eligibility lines get drawn first. The RHTP Q3 2026 Quarterly Report is out for paid subscribers; any subscription gets access.
In this issue:
North Carolina sets January 1, 2028 for its Medicaid Primary Care Capitation Pilot, with FQHCs and RHCs left out of phase one
Oklahoma opens an EHR Expansion Vendor Request for Information, responses due December 1
Ohio names the recipients behind its network, maternal care and hospital awards, with the Ohio High Value Network taking $49.9 million
North Carolina sets January 1, 2028 for its Medicaid Primary Care Capitation Pilot, with FQHCs and RHCs left out of phase one
We flagged the webinar October 13. NC Medicaid’s deck from that session puts the first design details on the record:
Because Federally Qualified Health Centers and CMS Rural Health Clinics already operate with an alternative payment model, these providers will not be included in the first phase. Medicaid will explore bringing these providers into a potential second phase of the pilot.
The deck’s timeline, which it says is subject to change:
October 28, 12 to 1 p.m.: second webinar on the draft design
October 28 to November 9: provider feedback and non-binding interest form open
Early 2027: final design and capacity-building fund details
Spring 2027: applications, including requests for capacity-building funds
Late spring 2027: decisions and binding letters of commitment
From mid-2027: contracting with the Medicaid managed care plans
January 1, 2028: launch
The payments themselves are monthly per-member amounts paid through the managed care plans, in lieu of some existing fee-for-service payments. The RHTP money is the capacity-building funds, which the ROOTS Hubs will administer. NC AHEC Practice Support is “the contracted technical assistance vendor for this pilot.”
On the webinar, Elizabeth Kasper of NC Medicaid said there is no cap on participants, but the capacity-building funds are finite. A practice can be approved and still get none. Practices below the minimum patient count, which isn’t set yet, can pool through a Clinically Integrated Network.
