MEDICAID MANAGED CARE

Virtual Office Hours

NC Medicaid Initiatives & Updates

Thursday, December 5 | noon-1 p.m.

Effective January 1, 2025, Aetna will replace Blue Cross Blue Shield NC for the NC State Health Plan coverage.

Which plans are included?

• Enhanced PPO Plan (80/20)
• Basic PPO Plan (70/30)
• High Deductible Health Plan (HDHP)

This change does NOT impact members enrolled in the Humana Medicare Advantage plans.

The current pharmacy benefit manager (CVS Caremark®) will not change.

You know the health of your patients.

Do you know the financial health of your practice?

• Where does your practice stand related to financial benchmarks like days in accounts receivable?
• Do you understand your payer mix?
• What is your process for auditing for lost revenue?

North Carolina AHEC has a free tool that you can use to track your practice's financial health.

Medicaid Managed Care Fireside Chat

Practice Support has so much to offer you and your practice team. We focus on WHAT MATTERS TO YOU. 

Did you know:

Practice Support is your resource for your Quality Improvement Projects?

• We can help you understand reporting requirements, and support you in your work toward meeting quality goals for NC Medicaid, and the Medicare Quality Payment Programs and / or Making Care Primary.

• Maybe you want to implement a new diagnostic, treatment, or team-based care modality (like scribes or care managers)? We have expertise in the QI processes of examining current state, and identifying what your practice can do to achieve desired future state, and support you every step of the way.

SPECIAL WEBINAR

Hurricane Helene was an historic storm for a large region of the southern U.S.

Our friends, neighbors, colleagues, and whole communities in the mountains of Western North Carolina have suffered unimaginable flooding and devastation.

As Mr. Rogers would say (to help preschoolers cope with their feelings when facing similar situations), "Look for the helpers. There are always helpers." 

*Right now, people are urged not to 'self-deploy' to affected areas so that vital work can be done by emergency workers. *

We are sharing with you some resources that contain links and contact information to help guide your efforts to help.

The role of Nurse Practitioners (NPs) in North Carolina is integral to the health care system.  As advanced practice registered nurses, NPs are trained to provide high-quality care, often serving as primary care providers.  This overview will delve into the regulations governing NP practice in North Carolina, address common questions regarding their scope of practice, prescriptive authority, collaboration requirements, and documentation.  The speaker will also dispel a few myths related to NPs!

Everyone ages 6 months and older should get a 2024-2025 COVID-19 vaccine.  The COVID-19 vaccine helps protect you from severe disease, hospitalization, and death.  Getting a COVID-19 vaccine is a safer, more reliable way to build protection than getting sick with COVID- 19.