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Buncombe staff outline switch of foster youth Medicaid to statewide "Child and Family Specialty Plan" with Blue Cross plan

6703660 · October 24, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Rebecca presented North Carolina’s child and family specialty plan: beginning Dec. 1, foster youth and related eligible groups will be auto-enrolled in Healthy Blue Care Together (Blue Cross Blue Shield). County staff described care management changes, exemptions and local counts of affected children.

Buncombe County Department of Social Services staff told the Health and Human Services board on Friday that North Carolina will move foster children and other eligible child-welfare-involved youth onto a single statewide managed-care plan called the Child and Family Specialty Plan, beginning Dec. 1 for the first eligible group.

Why it matters: The change will shift care coordination for foster youth from local tailored plans to Healthy Blue Care Together (Blue Cross Blue Shield). County staff said the move could reduce some stigma for foster youth (new ID cards), create more holistic care management but could also risk network gaps for a small number of children with specialized placements.

Rebecca (DSS presenter) gave an overview of the plan and the schedule. The first phase, starting Dec. 1, will include children in foster care, children receiving adoption assistance, young adults formerly in foster care who are under age 26, and the minor children of…

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