---
title: Practice Support Services | claims
description: claims | Health care practices in North Carolina face many challenges. Our quality improvement coaches (QICs) are trained to work with you to transform the way in which care is delivered in your practice.
---

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# Practice Support Update Blog

## [Medicaid Timeline for Corrected Payments & Claim Reprocessing](https://go.northwestahec.wakehealth.edu/practicesupport/medicaid-timeline-for-corrected-payments-claim-reprocessing)

 Feb 11, 2026, 2:52:55 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid), [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims), [payment](https://go.northwestahec.wakehealth.edu/practicesupport/topic/payment)

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---

### What North Carolina Primary Care Practices Need to Know

 

North Carolina Medicaid has released updated guidance on **when providers can expect corrected payments and claim reprocessing** following the **reversal of the Medicaid reimbursement rate reductions that took effect October 1, 2025**.

We know this issue has created uncertainty for practice managers, billing teams, and financial planning. Below is a **plain‑language summary of the timelines** so you can plan appropriately and communicate clearly with your staff.

---

## Background: What Changed?

On **December 10, 2025**, North Carolina announced the **reversal of the Medicaid rate reductions** implemented on October 1, 2025. These reversals apply to **both NC Medicaid Direct (Fee‑for‑Service)** and **NC Medicaid Managed Care (PHPs)**.

The state has now outlined **how and when corrected rates will be implemented** and **when affected claims will be reprocessed**, as detailed in the [NC Medicaid Rate Reduction Reversal Update](https://medicaid.ncdhhs.gov/blog/2025/12/19/medicaid-rate-reduction-reversal-update).

---

## Updated Fee Schedules

NC Medicaid has announced that **updated fee schedules**, reflecting the reversal of the October 1, 2025 rate reductions, are scheduled to be **posted on January 5, 2026**.

These updated fee schedules apply to:

- **NC Medicaid Direct (Fee‑for‑Service)**
- **NC Medicaid Managed Care (PHP) plans**

Updated schedules will be available through the [NC Medicaid Fee Schedules and Covered Codes Portal](https://ncdhhs.servicenowservices.com/fee_schedules).

---

## When PHPs Will Implement Corrected Rates

Once the updated fee schedules are posted:

- **Prepaid Health Plans (PHPs have 45 days)** to update their systems with the corrected rates.

This places PHP system implementation **between January 5 and February 19, 2026**, depending on the plan.

### What this means for your practice

Providers should expect to begin seeing **corrected Medicaid Managed Care (PHP) payments**:

- **Mid‑February through early March 2026**, depending on the PHP

---

## Reprocessing of Previously Paid Claims

PHPs are required to **reprocess all claims affected by the October 1, 2025 rate reductions** for dates of service **on or after October 1, 2025**.

- After implementing the corrected rates, **PHPs have an additional 30 days** to complete claim reprocessing.

Based on the required timelines, **claim reprocessing is expected**:

- **Late February through late March 2026**
- Some adjustments may extend into **early April**, depending on the PHP

Providers do **not** need to resubmit claims for reprocessing unless directed otherwise by their PHP.

---

### NC Medicaid Direct (Fee‑for‑Service) Timeline

For comparison, **NC Medicaid Direct (FFS)** follows a different payment timeline.

Corrected payments for NC Medicaid Direct **began appearing in the January 13, 2026 check write**, following system updates tied to the January 5 fee schedule posting.

This differs from PHP timelines, which must follow the **45‑day system update period plus a 30‑day reprocessing window**.

---

## What Providers Should Expect — At a Glance

**Medicaid Managed Care (PHPs):**

- **Corrected payment amounts:** Mid‑February through early March 2026
- **Reprocessed claim adjustments:** Late February through March 2026
- **Some remittances may extend into early April**, depending on the PHP

**NC Medicaid Direct (FFS):**

- Corrected payments began **January 13, 2026**

---

## What Practices Should Do Now

 ✅ **Continue submitting claims as usual**  
✅ **Monitor remittance advice carefully** for adjustments and reprocessed claims  
✅ **Prepare billing and finance staff** for increased remittance activity over several weeks  
✅ **Avoid duplicate resubmissions** unless specifically instructed by the PHP

PHPs have indicated that **providers do not need to take action** for affected claims to be reprocessed.

---

## Who This Applies To

This guidance applies to:

- **NC Medicaid Direct**
- **NC Medicaid Managed Care (PHPs)**

---

## How Northwest AHEC Can Help

Your **Northwest AHEC Practice Support Team** is here to help practices navigate these changes. We can assist with:

- Understanding remittance advice and claim adjustments
- Preparing staff talking points and internal communications
- Workflow planning during high‑volume claim reprocessing periods

If your practice has questions or would benefit from one‑on‑one support, please reach out to your local AHEC practice support coach.

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/medicaid-timeline-for-corrected-payments-claim-reprocessing)

## [Claims Hold Update from CMS](https://go.northwestahec.wakehealth.edu/practicesupport/claims-hold-update-from-cms)

 Oct 15, 2025, 4:39:42 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims), [payment](https://go.northwestahec.wakehealth.edu/practicesupport/topic/payment), [government shutdown](https://go.northwestahec.wakehealth.edu/practicesupport/topic/government-shutdown)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/claims-hold-update-from-cms#comments-listing)

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[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/claims-hold-update-from-cms)

## [Payers in NC Implement Downcoding Claims and Code Review Programs](https://go.northwestahec.wakehealth.edu/practicesupport/payers-in-nc-implement-downcoding-claims-and-code-review-programs)

 Sep 2, 2025, 9:30:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [coding](https://go.northwestahec.wakehealth.edu/practicesupport/topic/coding), [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management), [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims), [insurance](https://go.northwestahec.wakehealth.edu/practicesupport/topic/insurance)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/payers-in-nc-implement-downcoding-claims-and-code-review-programs#comments-listing)

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Several health insurance companies in North Carolina have recently implemented programs to review claims and codes that results in the down coding of Level 4 and Level 5 Evaluation and Management (E/M) claims.

According to the [North Carolina Medical Society](https://ncmedsoc.org/latest-update-on-nc-health-insurance-payers-implementing-downcoding-claims-review-programs/), Aetna's process does not target all Level 4 and 5 codes, nor does it include all providers within the state. However, there remains confusion about why the insurer has implemented this program. [Cigna's approach is broader](https://providernewsroom.com/cigna-healthcare/new-reimbursement-policy-for-professional-evaluation-and-management-services-claims-effective-october-1-2025/) and applies to all physicians and to six E/M codes: 99204-99205 (new patient), 99214-99215 (established patient), and 99244-99245 (consult for new & established patients). Cigna will implement this review nationally on October 1, 2025.  

Along with the North Carolina Medical Society, many [professional societies](https://www.apma.org/about-apma/news/news-releases/2025/apma-takes-action-engaging-aetna-on-downcoding-policy/) across the country are also [alerting their members](https://www.texmed.org/TexasMedicineDetail.aspx?id=66499) to this issue. 

It is critical to follow the appropriate appeals process for any claims you believe to be inappropriately down coded! 

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/payers-in-nc-implement-downcoding-claims-and-code-review-programs)

## [BCBS Class Action Settlement Claims Deadline Approaching](https://go.northwestahec.wakehealth.edu/practicesupport/bcbs-class-action-settlement-claims-deadline-approaching)

 Feb 20, 2025, 10:42:07 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims), [BCBS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/bcbs)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/bcbs-class-action-settlement-claims-deadline-approaching#comments-listing)

![Justice Concept - Small Flag on a Map Background with Selective Focus.](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Justice%20Concept%20-%20Small%20Flag%20on%20a%20Map%20Background%20with%20Selective%20Focus..jpeg?width=300&height=300&name=Justice%20Concept%20-%20Small%20Flag%20on%20a%20Map%20Background%20with%20Selective%20Focus..jpeg)

What is the lawsuit about?

In the class action *In re: Blue Cross Blue Shield Antitrust Litigation*, the Plaintiffs (Provider Class Representatives, or group of providers and facilities bringing the suit) claim that the Settling Defendants (Individual Blue Plans and the Blue Cross Blue Shield Association) violated antitrust laws by illegally dividing the United States into "Service Areas" and agreed not to compete in those areas.  They also claim that the Settling Defendants fixed prices for services provided.

Why is there a Settlement?

The Court did not decide in favor of the Plaintiffs or Settling Defendants.  Instead, both sides have agreed to the Settlement.

Who is included in the Settlement Classes?

The Settlement Class includes all Providers in the U.S. (except Excluded Providers) who currently provide or provided healthcare services, equipment or supplies to any patient who was insured by, or was a member of or a beneficiary of any plan administered by any settling individual Blue Plan from July 24, 2008 to October 4, 2024.

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/bcbs-class-action-settlement-claims-deadline-approaching)

## [RHCs and FQHCs: May need to re-submit claims](https://go.northwestahec.wakehealth.edu/practicesupport/rhcs-and-fqhcs-may-need-to-re-submit-claims)

 Jan 17, 2025, 2:30:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Billing](https://go.northwestahec.wakehealth.edu/practicesupport/topic/billing), [rural health centers](https://go.northwestahec.wakehealth.edu/practicesupport/topic/rural-health-centers), [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims), [FQHC](https://go.northwestahec.wakehealth.edu/practicesupport/topic/fqhc)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/rhcs-and-fqhcs-may-need-to-re-submit-claims#comments-listing)

![photo-1682706841289-9d7ddf5eb999](https://go.northwestahec.wakehealth.edu/hubfs/photo-1682706841289-9d7ddf5eb999.avif)Starting October 1, 2024, the Centers for Medicare and Medicaid Services incorrectly returned certain Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) claims with reason code W7072:

- Type of bill: 017X (RHC) and 077X (FQHC)
- HCPCS code 93010 (electrocardiogram, EKG or ECG)

RHCs and FQHCs should resubmit these claims that were returned in error.

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/rhcs-and-fqhcs-may-need-to-re-submit-claims)

## [Tricare EFT Changes coming in 2025](https://go.northwestahec.wakehealth.edu/practicesupport/tricare-eft-changes-coming-in-2025)

 Dec 18, 2024, 1:15:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management), [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims), [tricare](https://go.northwestahec.wakehealth.edu/practicesupport/topic/tricare)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/tricare-eft-changes-coming-in-2025#comments-listing)

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Humana Military's claim processor will switch from Wisconsin Physicians Service (WPS) to PGBA LLC, effective January 1, 2025.

Key Changes:

EDI Claims:

- The 2025 TRICARE East Payer ID is 99727

Claims and Document Submissions:

- Starting January 1, 2025, use XPressClaims via provider self-service

Clearinghouse Requirements:

- New submitters must file a Trading Partner Agreement and Enrollment Form to obtain a          mailbox/submitter ID
- Confirm Payer ID 99727 is enabled if your clearinghouse already files claims to PGBA
- If your clearinghouse does not submit to PGBA, files can be uploaded directly if they meet ANSI     X12 standards.
- Batch claims processing is available through the EDI Gateway mailbox system.
- Complete a PGBA EDI Provider Agreement to submit claims electronically

Claims with 2024 Dates of Service (DOS)

- WPS will process claims with 2024 DOS until April 30, 2025
- After April 30, 2025, submit 2024 claims via XPressClaims or the clearinghouse.
- Ensure all documentation and disputes are submitted promptly before April 30, 2025.

ERA/EFT Enrollment:

- [Re-enroll in ERA/EFT](https://go.northwestahec.wakehealth.edu/hubfs/eft-and-era-enrollment-packagepdf.pdf)by January 1, 2025 even if currently enrolled. (click 'I am staying in East Region'). 
- Note: T17 EFT/ERA applications will no longer be accepted after this date.

Source: [Tricare EFT Changes Coming in 2025](https://www.humanamilitary.com/provupdates?medium-email_maincta-resource#nucleustabs-0ac8537f60-item-1218fb1fdd-tab)

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/tricare-eft-changes-coming-in-2025)

## [How to Show Care Gaps are Closed? CPT II Codes!](https://go.northwestahec.wakehealth.edu/practicesupport/how-to-show-care-gaps-are-closed-cpt-ii-codes)

 Jul 29, 2024, 10:15:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid Managed Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid-managed-care), [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management), [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims), [medical billing](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medical-billing)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/how-to-show-care-gaps-are-closed-cpt-ii-codes#comments-listing)

 ![Little dog as a vet wearing robe and stethoscope - isolated over a white background](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Little%20dog%20as%20a%20vet%20wearing%20robe%20and%20stethoscope%20-%20isolated%20over%20a%20white%20background.jpeg?width=300&height=278&name=Little%20dog%20as%20a%20vet%20wearing%20robe%20and%20stethoscope%20-%20isolated%20over%20a%20white%20background.jpeg)

"A picture is worth a thousand words." 

 

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/how-to-show-care-gaps-are-closed-cpt-ii-codes)

## [CHAMPVA Claims: Enroll in Direct Deposit---Reminder](https://go.northwestahec.wakehealth.edu/practicesupport/champva-claims-enroll-in-direct-deposit-reminder)

 Jun 26, 2024, 8:30:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [veterans](https://go.northwestahec.wakehealth.edu/practicesupport/topic/veterans), [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management), [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/champva-claims-enroll-in-direct-deposit-reminder#comments-listing)

 

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/champva-claims-enroll-in-direct-deposit-reminder)

## [Cigna claims: New requirement when submitting claims that include one or more office - based minor procedures](https://go.northwestahec.wakehealth.edu/practicesupport/cigna-claims-new-requirement-when-submitting-claims-that-include-one-or-more-office-based-minor-procedures)

 Jun 22, 2022, 8:00:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/cigna-claims-new-requirement-when-submitting-claims-that-include-one-or-more-office-based-minor-procedures#comments-listing)

Does your practice accept Cigna insurance? We have learned of an important policy change:

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/cigna-claims-new-requirement-when-submitting-claims-that-include-one-or-more-office-based-minor-procedures)

## [HRSA's COVID Uninsured Program and Coverage Assistance Funds: Important News](https://go.northwestahec.wakehealth.edu/practicesupport/hrsas-covid-uninsured-program-and-coverage-assistance-funds-important-news)

 Mar 23, 2022, 12:15:00 PM / by [Leslie D McDowell, DNP, ANP-BC, RN](https://go.northwestahec.wakehealth.edu/practicesupport/author/leslie-d-mcdowell-dnp-anp-bc-rn) posted in [COVID-19](https://go.northwestahec.wakehealth.edu/practicesupport/topic/covid-19), [Uninsured](https://go.northwestahec.wakehealth.edu/practicesupport/topic/uninsured), [reimbursement](https://go.northwestahec.wakehealth.edu/practicesupport/topic/reimbursement), [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/hrsas-covid-uninsured-program-and-coverage-assistance-funds-important-news#comments-listing)

You play a crucial role in testing, treating and vaccinating uninsured individuals, or those with limited health care coverage. 

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/hrsas-covid-uninsured-program-and-coverage-assistance-funds-important-news)

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### 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](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC/Practice-Support-Services)

Apply for practice support services - **[submit an email inquiry](mailto:practicesupport@ncahec.net)**

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- [clinical corner (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/clinical-corner)
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- [food (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/food)
- [glidepath (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/glidepath)
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- [postpartum (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/postpartum)
- [psychiatry (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/psychiatry)
- [recovery (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/recovery)
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- [chronic conditions (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/chronic-conditions)
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- [finance (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/finance)
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- [prenatal (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prenatal)
- [psychology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/psychology)
- [seniors (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/seniors)
- [sexually transmitted infections (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sexually-transmitted-infections)
- [social justice (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-justice)
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- [women's health (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/womens-health)
- [youth (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/youth)
- [#syphilis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/syphilis)
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- [CNA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cna)
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- [Fetal Alcohol Spectrum Disorders (FASD) (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fetal-alcohol-spectrum-disorders-fasd)
- [Free and Charitable Clinics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/free-and-charitable-clinics)
- [HEDIS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hedis)
- [HIPAA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hipaa)
- [Hardship Exception (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hardship-exception)
- [Healthcare Insights (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare-insights)
- [Heart Health Now (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health-now)
- [ICD-10 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/icd-10)
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- [MVP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/mvp)
- [Medicine (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicine)
- [NCPHC (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ncphc)
- [Nc Health Choice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-health-choice)
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- [PPE (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ppe)
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- [RSV (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rsv)
- [Relief Fund (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/relief-fund)
- [SAMHSA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/samhsa)
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- [maternal health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/maternal-health)
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- [nc medical journal (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-medical-journal)
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- [respiratory care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/respiratory-care)
- [rn refresher (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rn-refresher)
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# About Us

The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina.

[Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC)

# Links

- [Course Catalog](http://nwahec.org/)
- [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6)
- [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec)
- [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development)
- [Contact Support](https://go.northwestahec.wakehealth.edu/support)

# Contact Us

[ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu)

 Medical Center Boulevard  
 Winston-Salem, North Carolina

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