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Enhanced Medical Home Payments for Advanced Medical Homes Serving Members Eligible for Tailored Care Management

Nov 23, 2022 9:30:00 AM / by Practice Support Team posted in Medicaid Managed Care, advanced medical home, tailored care management

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Effective Dec. 1, 2022, through June 30, 2023, Advanced Medical Homes (AMHs) 1, 2 and 3 that are serving as the assigned primary care provider for NC Medicaid beneficiaries eligible for Tailored Care Management will receive an enhanced medical home payment of $20 per member per month. 

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Medicaid Managed Care Fireside Chat Nov. 17th: Tailored Plan 101: Ready, Set, Launch!

Nov 15, 2022 3:59:20 PM / by Practice Support Team posted in Medicaid Managed Care, Primary Care, tailored care management, practice management, Tailored Plans

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This webinar series is designed to support all Medicaid providers, practice managers, quality improvement professionals, care coordinators and other leaders within your practice to help you prepare for the launch of Tailored Plans in April of 2023. This monthly series will continue over the next several months to ensure that all of us are ready for launch.

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Starting Soon! Adult Psychiatry Free CME/CE Learning Community

Nov 10, 2022 8:53:23 AM / by Practice Support Team posted in Primary Care, CME, psychiatry

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Weitzman ECHO Advanced Primary Care, an interactive psychiatry learning series for rural medical providers, behavioral health providers, and care team members, starts next week!

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Letters going out to Medicaid Direct beneficiaries eligible for Tailored Care Management

Nov 9, 2022 2:30:00 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, tailored care management, Tailored Plans

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Your patients who are eligible for Tailored Care Management will receive a letter between now and November 17th.

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Highlighted Resource: Long COVID Symptom Clusters Persisting After Symptomatic COVID-19

Nov 3, 2022 7:30:00 AM / by Practice Support Team posted in COVID-19

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How many people infected by COVID-19 go on to experience symptoms of Long COVID after 3 months or more?

COVID virus (2)A recent study in JAMA pools results from 54 studies of people worldwide who had symptomatic COVID, investigating those who experienced Long COVID for symptoms and duration.

To learn more, check out the ADL's October 15 Highlighted Resource:
Estimated Global Proportions of Individuals With Persistent Fatigue, Cognitive, and Respiratory Symptom Clusters Following Symptomatic COVID-19 in 2020 and 2021

You can also read a news item about the study in MedPageToday, summarizing the information and including commentary from the study's main author:
Long COVID Persists in People With Symptomatic SARS-CoV-2 Infection

 

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Update from BCBS on Evaluation and Management Related Services Recoupment

Oct 20, 2022 8:00:00 AM / by Practice Support Team posted in BCBS

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Read the full write up on the blog this week!

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United Health Care Medicaid Quality and Health Equity Care Gap Incentives Increased

Oct 19, 2022 2:30:00 PM / by Practice Support Team posted in Medicaid Managed Care, Primary Care, Preventive Care

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United Health Care Community Plan 2022 CP-PCPi care gap and health equity closure rates are tripling between October 1 and December 31, 2022!

 

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Public Health Emergency Declaration Extended through January 11, 2023

Oct 19, 2022 8:30:00 AM / by Practice Support Team posted in Primary Care, telehealth, public health emergency

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The Secretary of Health and Human Services has declared and extended a public health emergency (PHE) related to the COVID-19 pandemic since January 27, 2020.

  • The secretary must issue a PHE renewal every 90 days
  • Many waivers and policy implementation dates are tied to the expiration of the COVID-19 PHE. 
  • HHS has reiterated its intent to provide states with a 60-day notice prior to the expiration of the PHE

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Fee Schedule and Covered Codes Webpage Coming in November

Oct 18, 2022 11:39:32 AM / by Practice Support Team posted in Medicaid, reimbursement, practice management

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Effective Nov. 3, 2022, all fee schedules currently listed on the NC Medicaid website will be moved to a new fee schedule and covered code website available to the public. The new website offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data.

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NC DHHS delays implementation of Tailored Plans until April 1, 2023

Oct 13, 2022 7:45:00 AM / by Practice Support Team posted in Medicaid, Tailored Plans

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To ensure beneficiaries can seamlessly receive care on day one, the North Carolina Department of Health and Human Services (NCDHHS) will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/ Developmental Disabilities Tailored Plans (Tailored Plans) until April 1, 2023.

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