It’s hard to believe the Medicaid Managed Care launch is upon us. The past year and a half we have experienced many challenges to be sure. You can rest assured your Northwest AHEC Practice Support team is here to help you navigate these changes. Below are some new resources NCDHHS has provided to help you and your practice as they launch Medicaid Managed Care.
In 2019, The Northwest AHEC re-prioritized our health education objectives to include non-medical drivers of health. These non-medical key drivers of an individual’s health (e.g. employment status, where we live, the air we breathe, our access to food and safe places nearby to exercise) have gained an elevated status in improving public health. This is noted in the Office of Disease Prevention and Health Promotion’s seminal work on preventing premature injury, the Healthy People 2030 Framework. Healthy People 2030 in its foundational principles includes: healthy physical, social, and economic environments to strengthen the potential to achieve health and well-being.
Medicaid Transformation Provider Services and North Carolina AHEC are conducting a series of Virtual Office Hours for providers beginning in March 2021. These sessions offer an interactive format for providers to have their questions answered.
The NC Medicaid Provider Services team is partnering with NC AHEC to host virtual Health Plan Meet and Greet sessions. NC Medicaid consultants and health plan representatives will be available to address your concerns and questions about the transition from Medicaid fee-for-service to Medicaid Managed Care. Virtual Meet and Greet sessions are structured as conversations between providers and Managed Care Health Plan staff with a Q&A for participants.
The Northwest AHEC Practice Support Team is committed to promote understanding and improve the orientation of Social Determinants of Health (SDOH) for North Carolinians. In order to support these goals, we will share a publication on SDOH each month on our Practice Support Blog.
Check out the Provider Playbook: Medicaid Managed Care page for some valuable information to help you in the transition to Medicaid Managed Care. See the readiness resources below. Please review the updated materials to ensure you are ready for the July 1, 2021 launch.
COVID-19 Vaccine Distribution Plan Update
Despite the challenges facing regional primary care practices during this time of COVID 19, many are actively pursuing Patient Center Medical Home recognition. The Northwest AHEC Practice Support Coaches stand ready to help using a distance tool kit provided by Wake Forest University Health sciences to provide coaching on quality improvement, advances in healthcare using electronic health record technology and PCMH recognition. Practice managers have stayed engaged in projects with the NWAHEC Practice Support team, and maintained productivity as their deadlines approach.
Distance learning and communication technology has enabled Practice support coaches to work diligently with managers and providers who strive to maintain quality and ensure the patient needs are meet. Tools such as virtual meetings and shared assignments have helped practice staff continue to satisfy PCMH recognition deliverables and deadlines. Coaches help practice staff work on quality reporting, patient satisfaction measurement and review, preparation and submission of quality metrics.
Virtual meetings conducted by NWAHEC Practice Support Coaches are customized to meet the needs of the practice and patients. Monthly meetings last one to two hours and focus on standard work procedures in targeted areas such as patient satisfaction surveys. The goal of the project is to align scheduling, communication, screening, referral and treatment options with individual patient needs. Many of the targeted patient characteristics and corresponding practice procedures have changed drastically during the Coronavirus Pandemic. One obvious example is seen in empty practice waiting rooms which have shifted to patients waiting in the parking lot for their turn to enter the practice.
Virtual coaching visits provided by the Northwest AHEC Practice Support team have been a reassuring contact for practice mangers as they redesign their practice during these very difficult times. As reflected in the quotes below, practices rely Northwest AHEC Practice Support for up to date, unbiased answers and technical support as they lead their practices to greater quality and patient centeredness.