North Carolina court shuts down challenges to Medicaid contract selection process

A North Carolina appeals court ruled that the Department of Health and Human Services was in the right with its awarding of a handful of prepaid three-year Medicaid contracts. 

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The department awarded contracts to Centene subsidiary WellCare, AmeriHealth Caritas N.C., Healthy Blue and UnitedHealthcare in February 2019 and was met with challenges, according to the Winston-Salem Journal

Aetna and My Health filed petitions in September 2019 contesting the decision-making process. Specifically, Aetna claimed it should have been chosen over Healthy Blue. 

While a superior court supported the department’s decision, the recent appellate court decision largely seals the deal, which began July 1 for fiscal year 2021-22. 

“The Superior Court clearly determined Aetna had accused the opposing parties of procedural gamesmanship, rather than acknowledging a procedural mistake during service and asking the court to excuse that mistake ‘for good cause shown,'” according to the ruling.

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