• Updates on Hot Topics
• Data Overview for Call Center & NEMT
• Common Claim Issues
• Common Reasons for Prior Authorization Denials
• Q & A

Do you have a question you would like Dr. Dowler or the PHP CMOs to answer during the webinar? Please access this link to enter your questions. We look forward to hearing from you!

During the transition period after NC Medicaid Managed Care launch, providers may experience payment issues from an increase in claim denials.  

What is the Request to Move to NC Medicaid Direct Process? 

The Center for Disease Control (CDC) has a webpage dedicated to bringing you “What’s New & Updated”.  Content on the webpage includes significant changes such as new pages and guidance recommendations.  This webpage is one of several ways you can stay updated on the most current information around COVID-19.  You can also stay updated by signing up for email updates, syndicating available content, and subscribing to the COVID-19 RSS Feed. 

Please join us for a virtual lunch n' learn on Thursday August 5th at noon. Kimberly Schnitzler will be presenting the toolkit along with tips and tricks to help you find just the right applicant for your open position. 

A study from April 2021 sponsored by the Robert Wood Johnson Foundation revealed some startling facts about ways we are missing the mark to address vaccine hesitancy among adults aged 18-64.  

Prepaid Health Plan Information Added to NCTracks Automated Voice Response System 

As part of recent NC Medicaid Managed Care updates, NCTracks accepts beneficiary enrollment and eligibility inquiries through the Automated Voice Response System (AVRS) which can be reached at 800-723-4330. The AVRS response includes the Prepaid Health Plan (PHP) name, contact information and the PHP assigned Primary Care Provider (PCP)/Advanced Medical Home (AMH). The response also includes a reminder that all care must be coordinated through the PHP. 

To provide some clarity on prior authorization submissions, NCDHHS issued a NC Medicaid Managed Care Provider Update on Friday July 9, 2021 that includes  information about claims submission and prior authorizations under Medicaid managed care.  

Common Billing Error - Taxonomy Codes Missing, Incorrect or Inactive 

On July 7, 2021 NCDHHS posted an updated bulletin highlighting flexibilities for prior authorizations during the first 60 days of the transition to Medicaid Managed Care.