Medicaid Managed Care Virtual Office Hours:

Provider Hot Topics

Thursday,  September 7 | 5:30 p.m.

Medicaid expansion will no longer launch Oct. 2 as the North Carolina General Assembly failed to take needed action to meet that date.

Medicaid Managed Care Back Porch Chat:

Key Medicaid Expansion

Thursday,  August 17 | 5:30 p.m.

Medicaid Managed Care Back Porch Chat:

Key Medicaid Updates w/ Special Guests from the Center for Medicare and Medicaid Innovation (CMMI)

Thursday, July 20 | 5:30 p.m.

The Department of Health and Human Services is delaying implementation of the Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans.  Tailored Plan launch was scheduled for October 1, 2023, but will now go forward at a date still to be determined.

For claims with a date of service on or after July 1, 2023, the Managed Care timely filing will be changing to 365 calendar days of covered service, or discharge, or a time period set by the health plan that is no less than 365 calendar days.

Managed Care claims with a date of service prior to July 1, 2023 still have a 180 day filing deadline.

Coming Soon: 2022 MIPS Final Score Preview

The Final Score Preview period gives clinicians the opportunity to preview their 2022 MIPS final score prior to the release of payment adjustment information. As a reminder, your 2022 final score is what will determine your 2024 MIPS payment adjustment. The Final Score Preview period will open in the coming days and will be announced via Quality Payment Program listserv.

Join us on Thursday, June 1 at 5:30 p.m. for Virtual Office Hours, which will focus on provider enrollment and hot topics specific to NC Medicaid enrolled providers.

This month's Back Porch Chat has something for everyone, including all Medicaid provider types, practice managers, quality improvement professionals, care coordinators and other leaders within your practice.

The federal COVID-19 Public Health Emergency (PHE) ended on May 11, 2023.