Practice Support Update Blog

Medicaid Managed Care: Glidepath Payment Reconsideration Process

Apr 28, 2021 8:13:00 AM / by Practice Support Team

As a reminder, once an AMH Tier 3 practice has attested to meeting Glidepath payment eligibility in NCTracks, DHHS will validate that the practice is enrolled with NC Medicaid and attested as an AMH Tier 3 practice. DHHS then confirms the attestation with the respective pre-paid health plans in order to validate that each Tier 3 practice has met contracting and testing criteria.   

MedicaidDHHS has developed a reconsideration process for providers who either missed the March Glidepath attestation deadline due to specific circumstances related to the COVID-19 pandemic and public health emergency or who disagree with the outcome of the validation determinations for the March Glidepath payment. 

  • If a provider believes they have been denied the March Glidepath payment in error, they should first contact the health plans that match their attestation to confirm completed status of both contracting and testing and request confirmation of that status in writing.   
  • The confirmation documentation must indicate that all requirements were completed prior to the March 30, 2021 Glidepath attestation deadline. Please submit this documentation to Medicaid.Transformation@dhhs.nc.gov, with the subject line of “AMH Glidepath Payment Reconsideration.” Your reconsideration request must be received by April 25, 2021 to be included in the May Glidepath payment cycle.   
  • The Department will review this confirmation and validate that the criteria are met for at least two plans by the stated deadline for payment. If it falls after that deadline, consideration can be made for the subsequent payment cycle. If the health plan cannot confirm completion of contracting and testing and the organization disputes this, please provide documentation with supporting evidence to support the position in a statement to Medicaid.Transformation@dhhs.nc.gov, with the subject line of “AMH Glidepath Payment Reconsideration.” 

Contact 

NCTracks Call Center, 800-688-6696 

 

Tags: Medicaid Managed Care, NCDHHS, nctracks, glidepath

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