Practice Support Update Blog

NC Medicaid: New CPT 2 F Codes have July 1 start date

May 28, 2025 4:30:00 PM / by Practice Support Team posted in Medicaid Managed Care, Primary Care, coding, Pregnancy, OB/GYN, postpartum, prenatal

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MedicaidFrom NC Medicaid:

Practices that provide prenatal and postpartum care should bill the new F codes (0503F and 0500F) for their respective services, in addition to using global billing codes after delivery.

Some private and commercial insurers already require these codes, so providers should check with their billing team to review relevant protocol. These F codes are required by NC Medicaid’s clinical policy and apply to all delivery claims (not just those that are globally billed).


NC Medicaid urges providers to begin using the new codes as soon as possible. After July 1, 2025, Medicaid claims for delivery will deny if 0500F is not in the patient's history. This change will apply to both NC Medicaid Managed Care and NC Medicaid Direct claims.

Details and Source: New F Codes: Capturing Prenatal and Postpartum Care Services

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Disaster Preparedness for Members with Chronic Conditions

May 28, 2025 3:30:00 PM / by Practice Support Team posted in Medicaid Managed Care, Webinar, chronic conditions

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nc ahec logo

NEW WEBINAR SERIES

MEDICAID MANAGED CARE

Disaster Preparedness for Members with Chronic Conditions

June 12, July 15 and August 19

NOON - 1 p.m.

Please join us for a new webinar series focused on disaster preparedness for members with chronic conditions. This series will cover topics such as:

  • Overview of Disaster Preparedness in North Carolina 
  • Understanding At-Risk Medicaid Populations 
  • General Preparedness for High-Risk Members 
  • Condition-Specific Considerations 
  • Sheltering in Place vs. Evacuation 
  • Special Considerations for Populations with Disabilities 
  • Behavioral Health and Substance Use Disorder Preparedness 
  • Building Resiliency and Promoting Equity 

The first webinar will take place on June 12, 2025, followed by July 15 and August 19. Register for this series by clicking on the button below. We look forward to connecting with you!

Register for the Disaster Preparedness Webinar

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Registration is OPEN: 2025 NC Annual STI Update

May 28, 2025 1:30:00 PM / by NW AHEC posted in STIs, hiv, sexually transmitted infections

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Join us virtually on August 13th to explore the latest developments in sexually transmitted infection (STI) prevention, diagnosis and treatment. Registration Open!

2025 NC Annual STI Update
Live Webinar - August 13th 8:00AM - 4:00PM

go.northwestahec.wakehealth.eduhubfsSTI Update image_Adobe Stock 176739488Topics (subject to change):

  • Let’s Talk About Sexual Health: Taking a History and Introducing Shared Decision Models Into Practice
  • Sexual Health in Aging People
  • Best Practices in STI Prevention Vaccination
  • Leveraging Point of Care Diagnostics to Address STI Syndemics
  • A Practical Guide to Implementing DoxyPEP
  • Updates for North Carolina Providers: What’s New From the NC SLPH, the Role of NC DIS Teams in STI/HIV Case Investigation and Response, Complex Cases in STI Management

Get registered today

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2025: CMS Suspends Eight Improvement Activities for MIPS

May 20, 2025 7:45:00 AM / by Practice Support Team posted in MIPS, quality payment program, CMS

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top view of Medicine doctor hand working with modern computer and smart phone on wooden desk as medical concept-May-19-2025-01-01-40-2119-PM

The Center for Medicare and Medicaid Services (CMS) has announced it is suspending eight improvement activities for the 2025 performance year.

 

The suspension is in accordance with the Merit-based Incentive Payment System (MIPS) Improvement Activities Suspension Policy finalized in the CY2021 Physician Fee Schedule final rule.  CMS intends to propose removing these improvement activities in future rulemaking.

MIPS Improvement Activities Suspended for PY 2025

Activity ID Activity Name
IA_AHE_5

MIPS Eligible Clinician Leadership in Clinical Trials or CPBR

IA_AHE_8 Create and Implement an Anti-Racism Plan
IA_AHE_9 Implement Food Insecurity and Nutrition Risk Identification and Treatment Protocols
IA_AHE_11 Create and Implement a Plan to Improve Care for Lesbian, Gay, Bisexual, Transgender, and Queer Patients
IA_AHE_12 Practice Improvements that Engage Community Resources to Address Drivers of Health
IA_PM_6 Use of Toolsets or Other Resources to Close Health and Health Care Inequities Across Communities (Use of toolset or other resources to close healthcare disparities across communities)
IA_ERP_3 COVID-19 Clinical Data Reporting with or without Clinical Trial
IA_PM_26 Vaccine Achievement for Practice Staff: COVID-19, Influenza, and Hepatitis B

CMS says that clinicians should select other improvement activities to complete.  However, if any of the suspended improvement activities have already been completed or were in the process of being completed, clinicians will still be able to attest to completing them and receive credit.  Please review the 2025 Improvement Activities Inventory for available improvement activities.

Visit the QPP website for more information.

Source: Improvement Activities Suspension Announcement, Small Practices Newsletter, 2025

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Practice Manager Boot Camp Now Open for Registration!

May 15, 2025 10:30:07 AM / by Practice Support Team posted in management, leadership, practice management

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Operations Management on the Mechanism of Metal Gears.

The Practice Manager Boot Camp is designed to provide new practice managers with the information they need to run their practices effectively, for experienced managers seeking refresher training or to learn new skills, and for staff members with practice management or leadership responsibilities.

The next cohort for this virtual program begins on July 17,2025 and registration fee discounts are available for early registration.

Divided into a total of 36 on-hour sessions within nine separate modules, participants can choose to either register for the full boot camp  (with a 25% discount on the full registration fee), or for individual modules within it. 

The courses meet via live webinar on Thursday afternoons from 3:00-4:00 PM and are recorded for later viewing.

Learn more about the boot camp and individual modules.

If you have any questions, contact Jane Moran at jane.moran@sr-ahec.org!

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Highlighted Resource: Mental Health Practice Readiness Inventory

May 13, 2025 12:15:00 PM / by Janice Moore, MLS posted in mental health, digital library, adl

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How can healthcare providers check whether they are prepared to support their patients' mental healthcare needs?

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Sun Bucks Food Program is Back for a Second Summer in North Carolina!

May 13, 2025 9:30:00 AM / by Practice Support Team posted in Medicaid, Primary Care, food insecurity, food, Pediatrics

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Small group of children in nature eating snacks together, sandwiches, bread

 

The SUN Bucks food program is back for 2025 and is expected to provide benefits to more than one million school children in North Carolina this summer. The North Carolina Department of Health and Human Services and the North Carolina Department of Public Instruction are partnering again to administer the U.S. Department of Agriculture’s Summer Electronic Benefits Transfer program known as "SUN Bucks."

SUN Bucks provides a one-time payment of $120 per eligible child on a debit-like card that can be used to buy nutritious food at retailers and farmers markets that accept EBT, including most major grocery stores in North Carolina. SUN Bucks is one of three NC Summer Nutrition (SUN) Programs for Kids  that keep children fueled during the summer while schools are out.

Most eligible children will automatically qualify for the program and were auto enrolled by May 2, 2025. Children automatically qualify if they are eligible for any of the following programs: 

  • Free and reduced-price (FRP) meals at schools by approved FRP application
  • Food and Nutrition Services (also called FNS or food stamps)
  • Temporary Assistance for Needy Families (TANF)
  • Cherokee Tribal Food Distribution Program (CTFDP)
  • Child is in Foster Care
  • Child is enrolled in the McKinney-Vento program (experiencing homelessness or runaway)
  • OR if they receive NC Medicaid benefits and have a household income below 185% of the federal poverty level

Families with children who qualify will receive a new 2025 SUN Bucks card in the mail.  

Families with questions can visit the website at ncdhhs.gov/sunbucks or call the NC SUN Bucks Call Center at 1-866-719-0141, select a language, then select option 2 to speak with a SUN Bucks representative.

See the full Press Release from NCDHHS to learn more.

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Register now for two-part webinar series focused on: Community Health Worker Integration

May 8, 2025 11:12:02 AM / by Practice Support Team posted in NCDHHS, population health, Community Health Worker

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CHW.NCDHHS.NCAHEC.

Webinar Series

CHW Integration: Strategies for Impact and Sustainability

You're invited to a two-part webinar series, CHW Integration: Strategies for Impact and Sustainability, focused on advancing and sustaining Community Health Worker (CHW) integration across North Carolina’s healthcare system. 

Hosted by NC AHEC, the North Carolina Community Health Worker Association (NCCHWA), and Freedmen’s Consulting, this series will explore strategies to strengthen CHW programs, align them with value-based care models, and support long-term sustainability through practical financing approaches.

These sessions are designed for CHWs, community-based organizations, healthcare practices, care management agencies, health system population health teams, and health plans. 

This event is sponsored by NC Division of Health Benefits (Medicaid) at no cost to participants. 

Part 1: May 19, 2025 | noon - 1 p.m. | REGISTER

Explore how CHWs are driving improvements in population health, enhancing care experiences, and helping to reduce costs. As healthcare moves from fee-for-service to value-based care, CHWs are becoming essential partners in delivering whole-person, community-centered care.

Tim P. McNeill, RN, MPH, will lead this session, highlighting the evolving role of CHWs and sharing promising models of integration from Alabama, New York, and Texas.

Part 2: June 4, 2025 | noon - 1 p.m. | REGISTER

Learn how financing strategies can support and sustain CHW integration across healthcare settings. As value-based care continues to expand, understanding how to fund and grow CHW programs is critical.

Tim P. McNeill, RN, MPH, will review current payment models and discuss their effectiveness in supporting CHW roles. This session includes a care transitions case study and tools to help develop a sustainable CHW integration strategy.

We hope you'll join us for one or both sessions! For questions about NC AHEC CHW Program, please visit our webpage .

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NC Medical Employee Salary and Benefits Survey

May 1, 2025 1:00:00 PM / by Practice Support Team posted in practice management

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Business man pointing to transparent board with text Free Webinar

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Loan Repayment Program Application Portal Open

Apr 30, 2025 8:45:00 AM / by Practice Support Team posted in Primary Care, Office of Rural Health, rural health, internal medicine

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Stream in a farm field in rural York County, Pennsylvania.

From the North Carolina Office of Rural Health:

The Office of Rural Health (ORH) offers qualifying physicians, with educational (student) loan debt, incentive payments to repay their loans tax-free through the Primary Care Physicians Initiative (NC PCPI). With the passage of Session Law 2023-134, incentive payments are awarded to eligible physicians in exchange for providing comprehensive primary care services in outpatient settings at eligible sites serving those with highest need located within Tier 1 and Tier 2 of the North Carolina's County Distress Rankings (Tiers).

Funding is limited and the awards will be based on a first-come, first-served basis for eligible and complete applications. ORH anticipates up to 16 awards in each of the six Medicaid Regions. The application portal will not accept more than 20 applications per Medicaid Region. 

Applicants are strongly encouraged to review the guidelines carefully and gather necessary documentation so that they are prepared to complete the online application in its entirety via the application portal.

Loan Repayment Application Instructions

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