What is the Request to Move to NC Medicaid Direct Process?
Medicaid Managed Care: Request to Move to NC Medicaid Process
Aug 5, 2021 7:25:28 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, Billing
Medicaid Managed Care: NCTracks AVRS Updated with PHP information
Jul 22, 2021 6:30:00 AM / by Practice Support Team posted in Medicaid Managed Care, nctracks
Prepaid Health Plan Information Added to NCTracks Automated Voice Response System
As part of recent NC Medicaid Managed Care updates, NCTracks accepts beneficiary enrollment and eligibility inquiries through the Automated Voice Response System (AVRS) which can be reached at 800-723-4330. The AVRS response includes the Prepaid Health Plan (PHP) name, contact information and the PHP assigned Primary Care Provider (PCP)/Advanced Medical Home (AMH). The response also includes a reminder that all care must be coordinated through the PHP.
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
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.
Back Porch Chat: Hot Topics in Medicaid Transformation Post-Launch
Jul 14, 2021 11:17:53 AM / by Practice Support Team posted in Medicaid Managed Care
Check out these upcoming webinars...
Medicaid Managed Care: It’s Here….
Jun 30, 2021 10:00:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care
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.
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
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.
Medicaid Managed Care: Enrollment Update
Jun 2, 2021 9:14:43 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, NCDHHS
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.
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
NCDHHS recently released a fact sheet on Panel Management. We pulled some highlights from the fact sheet for you on the blog today.
NC Medicaid Managed Care: What Comes Next Webinar
May 19, 2021 1:15:00 PM / by Practice Support Team posted in Medicaid Managed Care
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.
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
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.
