Practice Support Update Blog

​Medicaid Managed Care: Claim Submission and Prior Authorization Clarifications

Jul 21, 2021 4:00:00 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, NCDHHS

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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.  

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​NC Medicaid: EHR Incentive Program Deadline  ​

Jul 14, 2021 2:30:00 PM / by Practice Support Team posted in Medicaid, EHR

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This is a friendly reminder that there are only four months left to apply for a final payment of up to $8500 from the NC Medicaid EHR Incentive Program [medicaid.ncdhhs.gov] 

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​Medicaid Managed Care: It’s Here….

Jun 30, 2021 10:00:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care

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It’s hard to believe the Medicaid Managed Care launch is upon us.  The past year and a half we have experienced many challenges to be sure. You can rest assured your Northwest AHEC Practice Support team is here to help you navigate these changes.  Below are some new resources NCDHHS has provided to help you and your practice as they launch Medicaid Managed Care. 

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​Provider Resource Highlight… Reference Guide: Medicaid Contacts for Beneficiaries  ​

Jun 30, 2021 8:15:00 AM / by Practice Support Team posted in Medicaid

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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.  

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​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

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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. 

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​Medicaid Managed Care: June 17 - Hot Topics with Health Plan Chief Medical Officers Webinar   ​

Jun 2, 2021 2:45:00 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, NCAHEC

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The Medicaid Managed Care webinars on the 1st and 3rd Thursday of the month are dedicated to bringing you late breaking information and guidance on NC Medicaid’s transition to Managed Care. Topics will vary, but each session will include an open question and answer period.  

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​Medicaid Managed Care: Enrollment Update  ​

Jun 2, 2021 9:14:43 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, NCDHHS

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On May 26, 2021, The North Carolina Department of Health and Human Services (NCDHHS) announced that all Medicaid beneficiaries currently eligible to transition to managed care have selected or been assigned a health plan with 97% enrolled in a plan that includes their current primary care provider (PCP) in network.   

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​NC Medicaid Transformation: Health Plan Auto-Enrollment and PCP/AMH Auto-Assignment begin as Open Enrollment Ends on May 21, 2021

May 19, 2021 8:15:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care

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NCDHHS Extends Open Enrollment for Medicaid Managed Care through May 21, 2021.  Read about it in this announcement. 

In NC Medicaid Managed Care, most beneficiaries choose their health plan and primary care provider (PCP) or Advanced Medical Home (AMH), which is a type of primary care provider. During open enrollment from March 15 through May 21, 2021, beneficiaries will enroll in a health plan and select their PCP/AMH.  If a beneficiary does not select a health plan, they will be automatically enrolled in one by the NC Department of Health and Human Services (DHHS).  If a beneficiary does not select a PCP/AMH, then the health plan will assign one to them.  First, DHHS will auto-enroll the beneficiary in a health plan. Once the health plan receives the beneficiary information, the health plan will auto-assign a PCP/AMH to the beneficiary. 

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NCHIEA Teletown Hall - May 26th

May 18, 2021 2:29:16 PM / by Practice Support Team posted in Medicaid, QPP, nchiea

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In December 2020, the Centers for Medicare and Medicaid Services (CMS) released the 2021 Quality Payment Program Final Rule that includes the new MIPS Promoting Interoperability Health Information Exchange Bi-Directional Exchange (PI_HIE_5) measure. 

qppThis measure allows eligible clinicians or groups to attest that they are engaged in bidirectional exchange with an HIE to support transitions of care as an alternative to meeting the Support Electronic Referral Loops by Sending Health Information AND the Support Electronic Referral Loops by Receiving and Reconciling measures (PI_HIE_1 and PI_HIE_4).

Learn more about how to meet this measure at the NCHIEA Teletown Hall on Wednesday, May 26, 2021, at 12 p.m.

Practice Consultant Terri Roberts from Area Health Education Centers (AHEC), will discuss: the new QPP/MIPS measure; its meaningfulness to practices; and how NC HealthConnex can help with attestation. 

Register Here [hiea.nc.gov]

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Webinar for Medicaid Managed Care Advanced Medical Home Program

May 11, 2021 3:49:28 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, advanced medical home

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The Advanced Medical Home webinar series provides Medicaid primary care practice staff and clinicians with more information on North Carolina’s AMH model and how to function at the highest AMH Tier possible when Medicaid Managed Care goes live in July 2021. This webinar, the last in this series, will provide a review of the Advanced Medical Home requirements, update on the glide path payments and more.

 

THURSDAY, MAY 13 | 5:30–6:30 PMamhwebinar
Advanced Medical Home Refresher

REGISTER NOW

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