With Medicaid Transformation comes the introduction of new points of contact for beneficiaries, such as the Enrollment Broker and health plans. A long-term goal of NC Medicaid is to provide a single point of contact – one number – for beneficiaries to call for assistance. For now, please try to direct beneficiaries to the appropriate contact using the information provided in this guide. The attached tables provide the various points of contact, key responsibilities, and phone numbers and/or websites beneficiaries can use.
Provider Resource Highlight… Reference Guide: Medicaid Contacts for Beneficiaries
Jun 30, 2021 8:15:00 AM / by Practice Support Team posted in Medicaid
NC Medicaid: Health Equity Payment Initiative Surveys Due by July 16, 2021
Jun 29, 2021 11:04:58 AM / by Practice Support Team posted in Medicaid, health equity
All Carolina Access Providers who received health equity payments are asked to take 5-10 minutes to complete this survey by July 16, 2021. The survey allows DHHS to monitor and evaluate how these payments were used.
Best Practices in Opioids Prescribing and Management
Jun 25, 2021 7:30:00 AM / by Practice Support Team
Welcome to the Best Practices in Opioids Prescribing and Management Webinars
We invite you to learn more about the lectures available for viewing and select what interests you, choose any or all 10. These pre-recorded lectures are all online via your computer or mobile device at your own pace.
NC STOP ACT: Mandatory Use of Controlled Substances Reporting System (CSRS) effective July 7, 2021
Jun 24, 2021 6:29:52 AM / by Practice Support Team
The “mandatory use” provision of the NC STOP Act becomes effective July 7, 2021. Under this provision, prescribers and dispensers of a controlled substance MUST perform a search of a patient's prescription history in PMP AWARE (North Carolina’s Controlled Substances Reporting System) before a controlled substance can be prescribed or dispensed. This system is intended to be used as a clinical tool to improve patient care and safety while avoiding potential drug interactions and identifying individuals that may be in need of referral to substance use disorder services. In addition, prescribers can audit their personal controlled substances prescribing history.
Medicare Billing: Medicare Secondary Payer Guidelines
Jun 23, 2021 8:23:19 AM / by Practice Support Team posted in Billing, medicare
In the April 2021 Medicare Secondary Payer MLN Booklet, CMS clarified the policy on accepting payments for services when another insurance is primary to Medicare.
To learn more about Medicare Secondary Payer(MSP) billing and claims review the Medicare Secondary Payer MLN Booklet. Common MSP coverage situations are listed in Table 1 (pp 5-8).
Is it time to retire the term “Social Determinants of Health?”
Jun 17, 2021 7:30:00 AM / by Practice Support Team posted in Social Determinants of Health
In 2019, The Northwest AHEC re-prioritized our health education objectives to include non-medical drivers of health. These non-medical key drivers of an individual’s health (e.g. employment status, where we live, the air we breathe, our access to food and safe places nearby to exercise) have gained an elevated status in improving public health. This is noted in the Office of Disease Prevention and Health Promotion’s seminal work on preventing premature injury, the Healthy People 2030 Framework. Healthy People 2030 in its foundational principles includes: healthy physical, social, and economic environments to strengthen the potential to achieve health and well-being.
Upcoming Activity Spotlight
Jun 16, 2021 6:00:00 PM / by Brooke Kochanski posted in Webinar, learning
We have some great activities planned upcoming. Most activities are still virtual learning with blended learning options. We have some IN PERSON activities coming up this Fall. See below some upcoming programs we've highlighted...and be sure to check out our Course Catalog to view all of the activities.
Provider Resource Highlight: NC Psychiatric Access Line (NC-PAL)
Jun 16, 2021 3:00:00 PM / by Practice Support Team posted in behavioral health
NC-PAL is a free telephone consultation program to help health care providers address the behavioral health needs of their patients.
10th Annual CNA Challenges & Rewards Conference: Taking Care of Yourself and Your Patients
Jun 16, 2021 2:00:00 PM / by Brooke Kochanski posted in Webinar, CNA, conference, home health, support staff
With skill and compassion, these caregivers are an exceptional group of professionals that have the benefit of spending the greatest amount of time with the persons being served. Because they are typically the first to observe changes in status, they have potential to be the source of solutions to a majority of the challenges confronting most care settings. Certified Nursing Assistants (CNAs). Certified Medical Assistants (CMAs), Home Care Aides (HCAs) and Personal Support Staff and others are welcome!
Falls: Screening, Risk Assessment and Care Planning for Older Patients in the Community
Jun 9, 2021 8:45:00 AM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Geriatric, Enduring, care planning, falls
As a clinician working in an outpatient setting, are you confident in how and when to appropriately screen patients for falls?