The Northwest AHEC Practice Support Team is committed to promote understanding and improve the orientation of Social Determinants of Health (SDOH) for North Carolinians. In order to support these goals, we will share a publication on SDOH each month on our Practice Support Blog.
Recent Posts
In an effort to ensure optimal access to care for Medicaid beneficiaries, to support providers during the recent COVID-19 surge, and to alleviate potential provider payment concerns, DHHS and the prepaid health plans (PHPs) have agreed to extend the policy for out of network flexibilities to providers who have not yet contacted with a PHP through Nov. 30, 2021. These flexibilities were originally expected to sunset on Aug. 30, 2021.
DHHS and PHPs are aware of potentially delayed payments and increased claim denials during the transition period. Providers experiencing claim payment issues should initially work with the PHPs to address claim issues and avoid the need for a hardship advance.
This webinar will provide an overview of the Pilot program, with a focus on the essential roles and responsibilities of human services organizations that will provide Pilot services to eligible Medicaid members. The webinar will also highlight important upcoming implementation milestones and next steps. The session will be geared towards human services organizations that are interested in providing Pilot services, but is open to the public. There will be time reserved at the end for Q&A.
The Practice Support team at Northwest AHEC has created a free online guide to Cognitive Assessment and Care Plan Services.
Application for $5,000 grants to support Covid-19 vaccination in primary care
NC AHEC and the UNC Prevention Research Center invite North Carolina primary care practices to apply for grants of up to $5,000 to support the delivery of Covid-19 vaccines. Practices should apply through this link: https://unc.az1.qualtrics.com/jfe/form/SV_86Ag2KHXWGKw4qa no later than September 17, 2021.
In a June 10, 2021 news release the Occupational Safety and Health Administration (OSHA) issued an emergency temporary standard (ETS)(1) to protect health care workers from the coronavirus. The main section of the ETS (1910.502 – Healthcare) requires employers to develop and implement effective COVID-19 plans. OSHA’s COVID-19 Healthcare (ETS) requires employers to develop and implement a COVID-19 plan for each workplace to protect workers from COVID-19. If an employer has more than 10 employees, the plan must be written. Employers may use this template(1) to develop a COVID-19 plan for their workplace.
Back Porch Chat: Medicaid Managed Care Hot Topics
THURSDAY, AUGUST 19 | 5:30-7 PM
Hosted by Shannon Dowler, MD, Chief Medical Officer of the NC Division of Health Benefits, this 90-minute session welcomes each of the Chief Medical Officers of North Carolina's five Medicaid Managed Care plans to bring you late breaking information and guidance on NC Medicaid’s transition to Managed Care. Topics covered will include:
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THURSDAY, AUGUST 19 | 5:30-7 PM
Hosted by Shannon Dowler, MD, Chief Medical Officer of the NC Division of Health Benefits, this 90-minute session welcomes each of the Chief Medical Officers of North Carolina's five Medicaid Managed Care plans to bring you late breaking information and guidance on NC Medicaid’s transition to Managed Care. Topics covered will include:
Updates on Hot Topics- Data Overview for Call Center & NEMT
- Common Claim Issues
- Common Reasons for Prior Authorization Denials
- Q & A
Do you have a question you would like Dr. Dowler or the PHP CMOs to answer during the webinar? Please access this link to enter your questions. We look forward to hearing from you!
During the transition period after NC Medicaid Managed Care launch, providers may experience payment issues from an increase in claim denials.
What is the Request to Move to NC Medicaid Direct Process?
