• From the NC Medicaid 2021 Provider Playbook, you will find Updated FAQs on Medicaid Managed Care Claims and Prior Authorizations. Some examples of FAQ topics include: how to file a claim with each of the PHPs, what information is needed from the provider to file the claim,  portal messaging and how to submit prior authorizations to a health plan and many other topics.  There are helpful links and the PHP Claims Schedule through October 2021.
  

Falls Prevention Awareness Week is a national health campaign observed on the first day of fall to increase awareness around falls health and injury prevention. Join us September 20-24, 2021 for Falls Prevention Week, a nationwide effort to raise awareness that falls are preventable. Read more on our blog and check out our online Falls Prevention activity!

On September 29, HRSA announced a new funding opportunity for health care providers affected by the COVID-19 pandemic. This funding will include $8.5 billion in American Rescue Plan (ARP) funding for providers who serve rural Medicaid, CHIP, or Medicare patients, and an additional $17 billion for Provider Relief Fund (PRF) Phase 4. To expedite the funding process, providers will apply for both programs in a single application and HRSA will use existing Medicaid, CHIP and Medicare claims data in calculating payments. 

The Centers for Medicare and Medicaid Services (CMS) is hosting a Quality Payment Program webinar on Thursday September 30, 2021 from 2-3 PM to provide an overview of the 2021 Alternative Payment Model (APM) Incentive Payment for Qualifying APM Participants.

The Biden-Harris Administration will require COVID-19 vaccination of staff within all Medicare and Medicaid-certified facilities to protect both them and patients from the virus and its more contagious Delta variant.  Facilities across the country should make efforts now to get health care staff vaccinated to make sure they are in compliance when the rule takes effect.

COVID-19 Clusters among Schools and Sports Teams

Join us for important Medicaid updates at the next Back Porch Chat on Medicaid Managed Care Hot Topics scheduled for Thursday, September 16 from 5:30-6:30 PM. Carrie Brown, MD, MPH Chief Medical Officer for Behavioral Health & IDD, NC Department of Health and Human Services will host the event

Provider Relief Fund (PRF) recipients who received one or more payments exceeding, in the aggregate, $10,000 during a Payment Received Period are required to report as part of the post-payment reporting process. The reporting portal is now open. If you received payments from the fund between April and June 2020 you are required to report prior to September 30th, 2021. 

This series, formerly the Advanced Medical Home (AMH) Webinar Series, is designed to to support practice managers, quality improvement professionals, care coordinators, and others within your practice who are responsible for meeting the NC Medicaid Managed Care Provider requirements. All webinars are from 5:30-6:30 PM. Join us for one or for all!