On August 8, 2017, North Carolina released a proposed design for transitioning its Medicaid program to a managed care delivery system. The state plans to implement full-risk, capitated managed care plans that will provide integrated physical and behavioral health and pharmacy services along with some home- and community-based waiver services as early as July 2019. Under the proposal, the state would terminate its behavioral health services contracts with the Local Management Entities-Managed Care Organizations (LME-MCOs) no more than two years after managed care implementation. The LME-MCOs will have the opportunity to form managed care plans . . .