2021 is the last year for eligible professionals to participate in the NC Medicaid EHR Incentive program, and October 31 is the deadline to submit your attestations! The North
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NCCARE360 helps providers electronically connect those with identified needs to community resources and allow for feedback and follow up. This solution ensures accountability for services delivered, provides a “no wrong door” approach, closes the loop on every referral made, and reports outcomes of that connection. NCCARE360 is available in all 100 counties across North Carolina.
Please join NC Medicaid Chief Medical Officer (CMO) Dr. Shannon Dowler, along with all the NC Medicaid Managed Care plan CMO’s, for the October Back Porch Chat on October 21 from 5:30 - 6:30 p.m. 
This webinar will review new COVID-19 surge response offerings from NC Medicaid, including a COVID-19 vaccine incentive program for NC Medicaid beneficiaries. It will also review how to help a patient who needs Behavioral Health and Individual Developmental Disabilities (I/DD) Tailored Plan behavioral health services move from a standard plan to NC Medicaid Direct.
In efforts at improving transparency, this webinar will provide an overview of a claims dashboard and clinical quality measures, and show results across plans in our first quarter of NC Medicaid Managed Care.
Finally, it will summarize the “latest and greatest” in recent Medicaid bulletins and answer your questions. Please use this link to submit your questions in advance.
For a limited time the NC Department of Health and Human Services (NC DHHS) will cover licensing fees incurred when integrating with the Controlled Substance Reporting System (CSRS).
Integration with CSRS eliminates the need for delegate searches and increases the speed of search times. Integration also eliminates the need to leave your EHR to log into other tabs.
Monoclonal Antibody Therapy Capacity and Administration News from NCDHHS:
Provider rate increases:
NC Medicaid is extending all current COVID-19 temporary provider rate increases through November 30, 2021! Learn more here.
- 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.
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.
