Eligibility for Tailored Care Management i. All Members who would have otherwise been eligible for a BH I/DD Tailored Plan, as described in Section IV.E.1. Eligibility and Enrollment for PIHPs, if they were not part of a group delayed or excluded from Medicaid Managed Care, as described in Section IV.E.1. Eligibility and Enrollment for PIHPs, including those enrolled in North Carolina’s 1915(c) Innovations waiver and those using 1915(i) services, are eligible for Tailored Care Management, with the following exceptions for Members participating in services that are duplicative of Tailored Care Management:
Eligibility for Tailored Care Management i. All Members who would have otherwise been eligible for a BH I/DD Tailored Plan, as described in Section IV.E.1.
Eligibility for Tailored Care Management i. All Members enrolled in the Innovations Waiver are eligible for Tailored Care Management, with the following exceptions for Members participating in services that are duplicative of Tailored Care Management:
