Attention all NC HealthConnex Participant Account Administrators (PAA) 

Special Bulletin COVID-19 #153 (1/21/21): Temporary Provider Rate Increases and Clinical Policy Changes Extended 

For inclusion in open enrollment and auto-enrollment, provider contracts must be signed and mailed to health plan by: 

​​Medicaid Fireside Chat Series: COVID 19 Vaccine Administration 

​​Medicaid Fireside Chat Series: Quality, Tracking quality performance, outcomes and expectations 

The Northwest AHEC practice support team would like to thank you for allowing us to assist your team in meeting the challenges of primary care. In particular, we’d like to thank you for your participation in a statewide campaign called Heart Health Now (HHN!). Your efforts were critical to saving lives and improving clinical outcomes, especially for patients identified as high-risk for cardiovascular disease and mortality.  

Check out the Provider Playbook: Medicaid Managed Care page for some valuable information to help you in the transition to Medicaid Managed Care.  See the readiness resources below. Please review the updated materials to ensure you are ready for the July 1, 2021 launch. 

Are you planning on administering COVID-19 Vaccines in your office? 

NCDHHS has shared the Medicaid and NC Health Choice billing guidance for both the Pfizer-BioNTech and Moderna vaccines in two Special Bulletins (#147 and #148).  Please see some of the billing highlights and links to the bulletins below. 

What’s new and different in 2021? 

The Centers for Medicare & Medicaid Services (CMS) issued a final rule on December 1st, 2020 that includes policy updates for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2021.