Practice Support Update Blog

​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

0 Comments

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.  

Read More

​Medicaid Managed Care: Enrollment Update  ​

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

0 Comments

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.   

Read More

​Medicaid Managed Care: Panel Management Fact Sheet Released  ​

May 26, 2021 1:15:00 PM / by Practice Support Team posted in Medicaid Managed Care, nctracks

0 Comments

NCDHHS recently released a fact sheet on Panel Management.  We pulled some highlights from the fact sheet for you on the blog today. 

Read More

NC Medicaid Managed Care: What Comes Next Webinar

May 19, 2021 1:15:00 PM / by Practice Support Team posted in Medicaid Managed Care

0 Comments

Advocates and partner agencies can learn more about next steps in the NC Medicaid Managed Care rollout, with a focus on what people with Medicaid should expect next and how the Ombudsman can help. 

 

Tuesday, May 25, 2021 

12 – 1 p.m. 

Read More

​​Medicaid Managed Care: How Can You Assist Your Beneficiaries After The Transition

May 19, 2021 1:00:00 PM / by Practice Support Team posted in Medicaid Managed Care

0 Comments

HOW CAN I SEE WHICH BENEFICIARIES ARE ASSIGNED TO ME?  

Once the beneficiary has been assigned to the PCP/AMH, a provider can see these assignments by:  

  • Working with your contracted health plan  
  • Accessing information through the NCTracks Provider Portal  
  • Using the Recipient Eligibility function in NCTracks to verify this information for a single beneficiary.  
  • Using the NCTracks batch eligibility verification function.  
  • If you are an AMH, you can review the beneficiary assignment file you will receive from the health plan.  

Providers cannot currently view their assigned beneficiaries as a list in NCTracks. DHHS will announce new functionality prior to the launch of NC Medicaid Managed Care, where providers will receive a monthly report to view the beneficiaries assigned to them. 

Read More

​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

0 Comments

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. 

Read More

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

0 Comments

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

Read More

Behavioral Health Services in Standard Plans - NC Medicaid Managed Care Hot Topics Webinar

May 3, 2021 3:55:06 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, NCDHHS, NCAHEC

0 Comments

The North Carolina Department of Health and Human Services Division of Health Benefits and North Carolina AHEC are offering a bimonthly evening webinar series to help prepare providers, practice managers, and quality managers for Medicaid Managed Care going live on July 1, 2021.

Read More

Medicaid Managed Care: Glidepath Payment Reconsideration Process

Apr 28, 2021 8:13:00 AM / by Practice Support Team posted in Medicaid Managed Care, NCDHHS, nctracks, glidepath

0 Comments

As a reminder, once an AMH Tier 3 practice has attested to meeting Glidepath payment eligibility in NCTracks, DHHS will validate that the practice is enrolled with NC Medicaid and attested as an AMH Tier 3 practice. DHHS then confirms the attestation with the respective pre-paid health plans in order to validate that each Tier 3 practice has met contracting and testing criteria.   

Read More

Provider Data Updates in NCTracks: Medicaid Managed Care

Apr 21, 2021 9:00:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, NCDHHS, nctracks

0 Comments

On Wednesday April 14th, 2021 NCDHHS posted  Provider Data Updates highlighting the importance of ensuring provider data is correct in NCTracks.  Please see important highlights below and click on the links for more complete information. 

Read More

    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

    Apply for practice support services - fill out an application here

    New call-to-action

     

    Subscribe to Blog Updates

    Practice Support (1)
    Connect With Us:
    Join email list
    New call-to-action

    In Case You Missed It... Check Out These Recent Posts