Practice Support Update Blog

Medicaid Managed Care: Glidepath Payments

Mar 24, 2021 10:15:00 AM / by Practice Support Team

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.   

  • MedicaidThe 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 

 

Attestation Information 

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. 

 

Contact 

NCTracks Call Center, 800-688-6696 

Read the Advanced Medical Home Tier 3 Glidepath Payments announcement for more information. 

 

Tags: Medicaid Managed Care, glidepath

    Practice Support Services

    Health care practices in North Carolina face many challenges. Our team of quality improvement coaches (QICs) have skills and expertise to support you in your transformation efforts.

    To learn more about Practice Support Click Here

    Apply for practice support services - fill out an application here

    New call-to-action

     

    Subscribe to Blog Updates

    Practice Support (1)
    Connect With Us:
    Join email list
    New call-to-action

    In Case You Missed It... Check Out These Recent Posts