Practice Support Update Blog

Medicaid Managed Care 'Hot Topics'

Jan 12, 2022 7:59:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, Webinar, family medicine

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Save the date and join in on Thursday, January 20 for the next webinar on Medicaid Managed Care "Hot Topics". 

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Children in Foster Care: NC Medicaid Direct or Medicaid Managed Care?

Jan 11, 2022 7:59:12 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, family medicine, Pediatrics

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The North Carolina Department of Health and Human Services (NCDHHS) transitioned most
Medicaid beneficiaries to NC Medicaid Managed Care (Standard Plans) on July 1, 2021.

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NC Medicaid Revising and/or End-Dating All Temporary COVID-19 Rate Increases

Jan 6, 2022 8:00:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care

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Effective Dec. 31, 2021, NC Medicaid will end several of the temporary COVID-19 rate increases.
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NCDHHS Publishes Summary of Initial Network Adequacy Results for Standard Plans

Jan 4, 2022 12:36:32 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, Primary Care

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The North Carolina Department of Health and Human Services (NCDHHS) today published summary network adequacy results for Standard Prepaid Health Plans (Standard Plans) which were in effect for the July 1, 2021 “go-live." Network adequacy measures the ability of each NC Medicaid Managed Care health plan to deliver covered benefits by providing adequate access for members to all covered health care services through a network of contracted health care providers. Network adequacy and accessibility standards help verify that members have access to providers and offer an important tool for NC Medicaid to monitor and measure that access.

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Extension to NC Medicaid Managed Care Appeals Deadlines

Dec 14, 2021 1:24:58 PM / by Practice Support Team posted in Medicaid Managed Care, NCDHHS

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Provider appeal rights defined in the Standard Plan Contract Section V.D.5 Provider Grievances and Appeals, and the appeal processes outlined in the Prompt Payment Fact Sheet, include deadlines to submit appeals which may vary by Standard Plans, from 30 days to 365 days after the decision giving rise to the right to appeal.  

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Medicaid Managed Care: New Communication Tools

Dec 14, 2021 8:00:00 AM / by Practice Support Team posted in Medicaid Managed Care, communication

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North Carolina AHEC now offers you additional communication tools regarding Medicaid Managed Care challenges. If you are in need of an effective way to communicate complicated issues to the Prepaid Health Plans (PHPs), your Clinically Integrated Network (CIN), or even to the Provider Ombudsman, we can help.  

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Don't Forget - Quality & Population Health Webinar TODAY

Dec 9, 2021 7:00:00 AM / by Practice Support Team posted in Medicaid Managed Care, Quality Improvement

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The next webinar in the Quality & Population Health Webinar series will be held December 9 from 5:30-6:30 p.m. and will focus on Advanced Medical Homes: Incentives Plan.

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WEBINAR SERIES: Quality & Population Health

Dec 1, 2021 8:00:00 AM / by Practice Support Team posted in Medicaid Managed Care, Quality Improvement

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The next webinar in the Quality & Population Health Webinar series will be held December 9 from 5:30-6:30 p.m. and will focus on Advanced Medical Homes: Incentives Plan.

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Temporary Provider Rate Increases Extended Through 12/31

Nov 30, 2021 2:18:07 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care

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Temporary provider rate increases set to expire Nov 30 now extended through Dec 31. 

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Medicaid Communication Access Reimbursement

Nov 17, 2021 4:30:00 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, Primary Care, communication

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The Division of Services for the Deaf and Hard of Hearing (DSDHH) has partnered with the Division of Health Benefits to establish a pilot initiative for communication access services for patients (and companions) who have Medicaid and Health Choice. 

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