There are many challenges faced by practices and providers as they strive to ensure all children are fully immunized and protected against vaccine-preventable diseases. 

To ensure nearly 150,000 people seamlessly receive care on day one, the North Carolina Department of Health and Human Services will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. The launch was scheduled for April 1 and is now targeted for Oct. 1, 2023.

The Centers for Medicare and Medicaid Services (CMS) requires that all Medicaid providers are recredentialed, a process also referred to as reverification. Since March 2020, CMS has allowed for the suspension of reverification due to the Public Health Emergency (PHE) brought on by COVID-19.

This webinar series is designed to support all Medicaid providers, practice managers, quality improvement professionals, care coordinators and other leaders within your practice to help with the preparation for the launch of Tailored Plan in April of 2023. 

Currently, NCTracks compares the managing employees (ME) listed on an organization's initial enrollment application against the managing employees listed in the Medicare Provider Enrollment, Chain and Ownership System (PECOS). If managing employees listed on the application does not match those listed in PECOS, the application is denied.

Journey to Modernization: Provider Data Management/Credentialing Verification Organization Overview - A New Enrollment & Credentialing Solution

Learn a simpler way for Medicaid providers to participate in NC's Medicaid Program. (Session offers time for Q&A)

February 9, 2023 @ 5:30 PM

Register here for this webinar.

On April 1, 2023, beneficiaries currently receiving NC Health Choice coverage will move to NC Medicaid.

Provider Data Management (PDM)/Credentialing Verification Organization (CVO) Overview - A New Enrollment & Credentialing Solution.

Our next Medicaid Managed Care Webinar Fireside Chat of the Tailored Plan 101 series will occur on Thursday, January 19 from 5:30-6:30 p.m. Also - Learn a simpler way for Medicaid providers to participate in NC’s Medicaid Program. Content on January 26 will be repeated on February 9.

Effective Dec. 1, 2022, through June 30, 2023, Advanced Medical Homes (AMHs) 1, 2 and 3 that are serving as the assigned primary care provider for NC Medicaid beneficiaries eligible for Tailored Care Management will receive an enhanced medical home payment of $20 per member per month.