--- title: "​Medicaid Managed Care: It’s Here…." description: 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. Read more on our blog... image: https://go.northwestahec.wakehealth.edu/hubfs/Practice%20Support%20Files/Medicaid.jpeg --- [![nwahec.png](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png?width=2025&height=300&name=WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png "nwahec.png")](https://go.northwestahec.wakehealth.edu/) - [Home](https://go.northwestahec.wakehealth.edu) - [What's New at NWAHEC Blog](https://go.northwestahec.wakehealth.edu/blog) - [NWAHEC Staff](https://go.northwestahec.wakehealth.edu/staff) - [Practice Support Updates](https://go.northwestahec.wakehealth.edu/practicesupport) # What's New at NWAHEC ## [Medicaid Managed Care: It’s Here….](https://go.northwestahec.wakehealth.edu/blog/medicaid-managed-care-its-here) Jul 8, 2021, 8:25:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/blog/author/practice-support-team) - [Tweet](https://twitter.com/share) 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.  Answers to your most frequently asked questions can be found in the [NC Medicaid Managed Care Provider Update – June 29, 2021 Frequently Asked Questions for NC Medicaid Managed Care](https://medicaid.ncdhhs.gov/blog/2021/06/29/nc-medicaid-managed-care-provider-update-june-29-2021%20%5bmedicaid.ncdhhs.gov%5d).    Recently updated factsheets in the [Provider Playbook](https://medicaid.ncdhhs.gov/providers/provider-playbook-medicaid-managed-care/fact-sheets) include:   - [Panel Management](https://medicaid.ncdhhs.gov/fact-sheet-panel-management-primary-care-practices/download?attachment) - June 29, 2021 - [Protections for Pregnant Women and Newborns](https://medicaid.ncdhhs.gov/protections-pregnant-women-and-newborns/download?attachment) - June 29, 2021 - [Day One Provider Quick Reference Guide](https://medicaid.ncdhhs.gov/day-one-provider-quick-reference-guide/download?attachment) - June 29, 2021 - [What Providers Need to Know: Part 2 – After Managed Care Launch](https://medicaid.ncdhhs.gov/what-providers-need-know-part-2-after-managed-care-launch/download?attachment) - June 29, 2021 **KEY DATES FOR TRANSITIONING TO NC MEDICAID MANAGED CARE**  - **![Medicaid](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Practice%20Support%20Files/Medicaid.jpeg?width=250&name=Medicaid.jpeg)Aug. 30, 2021** – Last date by which the health plan will pay claims and authorize services for Medicaid-enrolled out of network providers equal to that of in-network providers (or until end of episode of care, whichever is less) - **Sept. 29, 2021** – Last date by which the health plan must honor existing and active prior authorizations on file with North Carolina Medicaid or NC Health Choice (or until the end of the authorization period, whichever occurs first) - **Sept. 30, 2021** – End of beneficiary choice period. \*Exempt beneficiaries can change their health plan at any time. They can also choose NC Medicaid Direct at any time. **KNOW WHERE TO SUBMIT CLAIMS**   If there are claims for dates of service prior to July 1, 2021, they should be submitted as they are today, through NCTracks or LME-MCOs. For dates of service beginning July 1, 2021, claims routing depends on a beneficiary’s enrollment at time of service and the services provided. Claims for beneficiaries enrolled in NC Medicaid Direct should continue to be submitted to NCTracks. Claims for members enrolled in Medicaid Managed Care should be submitted to the assigned health plan as shown on their member ID card and validated through the NCTracks Recipient Eligibility Verification methods, unless the service provided is a carved-out service. Two Claims Submission Provider Fact Sheets are available on the Provider Playbook that addresses how managed care claims are filed.  - [Managed Care Claims and Prior Authorizations Submission: What Providers Need to Know - Part 1](https://medicaid.ncdhhs.gov/claims-and-prior-authorizations-submission-what-providers-need-know-part-1/download?attachment) - June 14, 2021 - [Managed Care Claims and Prior Authorizations Submission: Frequently Asked Questions - Part 2](https://medicaid.ncdhhs.gov/claims-and-prior-authorizations-submission-faq-part-2/download?attachment) - June 14, 2021 **PHP Quick Reference Guides**  **AmeriHealth Caritas North Carolina**  [https://www.amerihealthcaritasnc.com/provider/forms/index.aspx](https://www.amerihealthcaritasnc.com/provider/forms/index.aspx)  **Carolina Complete Health**  [https://network.carolinacompletehealth.com/resources/manuals-and-forms.html](https://network.carolinacompletehealth.com/resources/manuals-and-forms.html)  **Healthy Blue (Blue Cross Blue Shield)**  [https://provider.healthybluenc.com/north-carolina-provider/manuals-and-guides](https://provider.healthybluenc.com/north-carolina-provider/manuals-and-guides)  **United Healthcare Community Plan of North Carolina**  [https://www.uhcprovider.com/en/health-plans-by-state/north-carolina-health-plans/nc-comm-plan-home/nc-cp-training.html](https://www.uhcprovider.com/en/health-plans-by-state/north-carolina-health-plans/nc-comm-plan-home/nc-cp-training.html)  **WellCare of North Carolina**  [https://www.wellcare.com/North-Carolina/Providers/Medicaid](https://www.wellcare.com/North-Carolina/Providers/Medicaid)    As always, if you have questions and need further assistance contact your Northwest AHEC Practice Support Team.  **Chris Jones, DrPH, MHA**   Practice Support Team Lead   [336-713-7039](tel:336-713-7039)[cjones@wakehealth.edu](mailto:cjones@wakehealth.edu)    **Ryan D. Wilkins, BS**   Practice Support Coordinator   [336-816-5550](tel:336-816-5550)[rdwilkin@wakehealth.edu](mailto:rdwilkin@wakehealth.edu) **Medina Wilson, MBA-HM, CPC, CPPM, CFD**   Practice Support Coordinator   [336-618-0974](tel:336-618-0974)[mewilson@wakehealth.edu](mailto:mewilson@wakehealth.edu)**Tammy Yount, MSHAI, PCMH CCE**  Practice Support Coordinator   [336-829-9641](tel:336-829-9641)[tyount@wakehealth.edu](mailto:tyount@wakehealth.edu)  **Leslie Doroski McDowell, DNP**  Quality Improvement Specialist / Curriculum Developer  [336-972-7852](tel:336-972-7852)[ldmcdowe@wakehealth.edu](mailto:ldmcdowe@wakehealth.edu)     [![Learn more about Practice Support](https://no-cache.hubspot.com/cta/default/7413846/c40bc72f-389e-4e62-a015-c097e7dae05d.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/c40bc72f-389e-4e62-a015-c097e7dae05d)   Tags: [Medicaid](https://go.northwestahec.wakehealth.edu/blog/topic/medicaid), [Medicaid Managed Care](https://go.northwestahec.wakehealth.edu/blog/topic/medicaid-managed-care) ![Practice Support Team](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/CircleNWAHEC-2022-3.png?width=100&height=100&name=CircleNWAHEC-2022-3.png) #### Written by [Practice Support Team](https://go.northwestahec.wakehealth.edu/blog/author/practice-support-team) This is a search field with an auto-suggest feature attached. - There are no suggestions because the search field is empty. 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[workforce developement (1)](https://go.northwestahec.wakehealth.edu/blog/tag/workforce-developement) See all # About Us The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina. [Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC) # Links - [Course Catalog](http://nwahec.org/) - [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6) - [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec) - [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development) - [Contact Support](https://go.northwestahec.wakehealth.edu/support) # Contact Us [ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu) Medical Center Boulevard Winston-Salem, North Carolina Copyright 2026 | Designed by [HubSpot](https://www.hubspot.com)