Practice Support Update Blog

Letters going out to Medicaid Direct beneficiaries eligible for Tailored Care Management

Nov 9, 2022 2:30:00 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, tailored care management, Tailored Plans

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Your patients who are eligible for Tailored Care Management will receive a letter between now and November 17th.

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Fee Schedule and Covered Codes Webpage Coming in November

Oct 18, 2022 11:39:32 AM / by Practice Support Team posted in Medicaid, reimbursement, practice management

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Effective Nov. 3, 2022, all fee schedules currently listed on the NC Medicaid website will be moved to a new fee schedule and covered code website available to the public. The new website offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data.

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NC DHHS delays implementation of Tailored Plans until April 1, 2023

Oct 13, 2022 7:45:00 AM / by Practice Support Team posted in Medicaid, Tailored Plans

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To ensure beneficiaries can seamlessly receive care on day one, the North Carolina Department of Health and Human Services (NCDHHS) will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/ Developmental Disabilities Tailored Plans (Tailored Plans) until April 1, 2023.

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NCTracks to Receive ACA Site Visit Information Automatically

Oct 12, 2022 8:22:00 AM / by Practice Support Team posted in Medicaid, NC Tracks, ACA

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This week, the Practice Support Team brings you news from NC Tracks.

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Medicaid: Some policies permanent, others sunsetting June 30th

Jun 22, 2022 9:38:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, Primary Care, OB/GYN, behavioral health, Pediatrics

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Based on the North Carolina State of Emergency established through Executive Order (EO) 116, NC Medicaid implemented temporary changes to clinical policy to support providers and beneficiaries during the COVID-19 State of Emergency.

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Important FAQs and Facts about NC Tracks

Apr 21, 2022 7:30:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, NC Tracks

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In late March, NCDHHS held a 'Virtual Office Hours' event covering Provider Enrollment Hot Topics and Reminders.

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NC Medicaid: New Preferred Drug List Formulary

Apr 20, 2022 9:00:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care

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Updated Single Preferred Drug List (PDL) for Medicaid: A new single Preferred Drug List Formulary became effective April 1. Please note that NC Statute 108D-65(6)(b)  requires all PHPS/Medicaid Plans use the same drug formulary established by the Department.

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Postpartum Coverage Extended to 12 Months for NC Medicaid Beneficiaries

Apr 6, 2022 8:30:00 AM / by Practice Support Team posted in Medicaid, Pregnancy, postpartum

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North Carolina currently ranks 30th in the country in maternal mortality and 39th in infant mortality. In addition, 12% of women in the state experience postpartum depression.

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Extension of NC State of Emergency Temporary Flexibilities

Mar 31, 2022 7:30:00 AM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Medicaid, Medicaid Managed Care

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End-date of some flexibilities set to sunset March 31 extended to June 30, 2022

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Curious about Value-Added Services in the Pre-paid Health Plans?

Mar 16, 2022 2:30:00 PM / by Practice Support Team posted in Medicaid

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All health plans offer the same basic benefits and services. Some health plans  also offer added services. View health plans  to learn about the added services that each health plan offers.

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