Effective April 1, 2021, as part of the transition to Medicaid Managed Care, NC Medicaid will offer time-limited payment to practices that have attested into Advanced Medical Home (AMH) Tier 3 if they can demonstrate successful readiness for AMH Tier 3 responsibilities as set out below.
- The payments, called “AMH Tier 3 Glidepath Payments,” will be $8.51 per member, per month (PMPM), paid by NC Medicaid in addition to eligible practices’ existing Carolina Access II PMPM payments.
- AMH Tier 3 Glidepath Payments are intended to provide an incentive for managed care launch readiness as well as provide funding to offset some of practices’ Tier 3 implementation costs.
- Payments will be available for the months of April, May and June, 2021, only.
An AMH Glidepath presentation is available on the Advanced Medical Home webpage under "Resources."
Upcoming deadline reminder:
For payment in April, May and June: complete attestation
no later than March 30, 2021, at 5 p.m. ET
The process for AMH Tier 3 attestation is described in the CSRA AMH Tier Attestation guidance dated May 28, 2020. Practices are advised to check their AMH attestation status within the NCTracks Provider Portal.
Practices that complete attestation and are validated by NC Medicaid for the AMH Tier 3 Glidepath will receive $8.51 PMPM. This payment will be added onto existing Carolina Access Medical Home payments that the practice currently receives. Payments will be based on the Medicaid population currently enrolled with the practice, even if not all current Medicaid members will be assigned to the practice after managed care launch.
NCTracks Call Center, 800-688-6696
Read the Advanced Medical Home Tier 3 Glidepath Payments announcement for more information.