For those serving NC Medicaid Direct beneficiaries, be on the lookout for a new primary care case management (PCCM) agreement from NC Carolina Community Care Networks within the next 1-2 weeks.
2021 is the last year for eligible professionals to participate in the NC Medicaid EHR Incentive program, and October 31 is the deadline to submit your attestations! The North
NCCARE360 helps providers electronically connect those with identified needs to community resources and allow for feedback and follow up. This solution ensures accountability for services delivered, provides a “no wrong door” approach, closes the loop on every referral made, and reports outcomes of that connection. NCCARE360 is available in all 100 counties across North Carolina.
Please join NC Medicaid Chief Medical Officer (CMO) Dr. Shannon Dowler, along with all the NC Medicaid Managed Care plan CMO’s, for the October Back Porch Chat on October 21 from 5:30 - 6:30 p.m. 
This webinar will review new COVID-19 surge response offerings from NC Medicaid, including a COVID-19 vaccine incentive program for NC Medicaid beneficiaries. It will also review how to help a patient who needs Behavioral Health and Individual Developmental Disabilities (I/DD) Tailored Plan behavioral health services move from a standard plan to NC Medicaid Direct.
In efforts at improving transparency, this webinar will provide an overview of a claims dashboard and clinical quality measures, and show results across plans in our first quarter of NC Medicaid Managed Care.
Finally, it will summarize the “latest and greatest” in recent Medicaid bulletins and answer your questions. Please use this link to submit your questions in advance.
For a limited time the NC Department of Health and Human Services (NC DHHS) will cover licensing fees incurred when integrating with the Controlled Substance Reporting System (CSRS).
Integration with CSRS eliminates the need for delegate searches and increases the speed of search times. Integration also eliminates the need to leave your EHR to log into other tabs.
Monoclonal Antibody Therapy Capacity and Administration News from NCDHHS:
Provider rate increases:
NC Medicaid is extending all current COVID-19 temporary provider rate increases through November 30, 2021! Learn more here.
- From the NC Medicaid 2021 Provider Playbook, you will find Updated FAQs on Medicaid Managed Care Claims and Prior Authorizations. Some examples of FAQ topics include: how to file a claim with each of the PHPs, what information is needed from the provider to file the claim, portal messaging and how to submit prior authorizations to a health plan and many other topics. There are helpful links and the PHP Claims Schedule through October 2021.
Falls Prevention Awareness Week is a national health campaign observed on the first day of fall to increase awareness around falls health and injury prevention. Join us September 20-24, 2021 for Falls Prevention Week, a nationwide effort to raise awareness that falls are preventable. Read more on our blog and check out our online Falls Prevention activity!
