By Gaile Osborne
As we settle into the holiday season and look ahead to a new year, I hope this time has brought calm, rest, and moments of joy for you and those you love. I’m writing today to share important information about upcoming changes to insurance coverage that will affect many children, youth, and young adults across our community.
Beginning December 1, 2025, eligible individuals who are enrolled in Medicaid and are—or have been—served by the child welfare system will transition to the Children and Families Specialty Plan (CFSP) under Healthy Blue Care Together.
Transitions like these can understandably bring uncertainty. Many families have built trusted relationships with their current doctors and care teams, and navigating a new system can feel overwhelming. With this shift, some things may change: Which providers are in-network, how to access certain behavioral health or specialized services, or where long-term supports will be delivered.
These concerns are real, and families deserve transparency and reassurance.
The good news is that the Children and Families Specialty Plan was created with a specific goal: To offer more coordinated, integrated care for those touched by the child welfare system. CFSP is designed to ensure continuity of services across physical health, behavioral health, pharmacy needs, and long-term supports—even when placements or circumstances change. In short, the aim is to make the system work with families, not against them.
For anyone with questions about how these changes may affect your coverage, services, or providers, Healthy Blue Care Together has multiple ways to get support:
Healthy Blue Care Together – Key Information & Resources
Website: healthybluenc.com/children-families-specialty-plan
Member Services: 833-777-3611 (TTY 711)
Behavioral Health Crisis Line (24/7): 833-597-3985
I want to acknowledge that change can be stressful—especially when it involves something as important as the health and well-being of our children. But I also believe that this transition offers a real opportunity for better support, greater stability, and a more responsive system of care.
If you have concerns or questions, please don’t hesitate to reach out to the numbers listed above. And in addition to contacting Healthy Blue Care Together, feel free to share your concerns with us as well. We are committed to lifting your voices to the proper channels so families are heard every step of the way.
Wishing you peace and strength in the months ahead.
