On November 1, North Carolina Secretary of the Department of Health and Human Services, Kody Kinsey, released a directive that Local Management Entities / Managed Care Organizations (LME-MCOs) are consolidating from 6 to 4 entities (Partners Health Management, Alliance Health, Vaya Health, Trillium Health Resources).
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Medicaid Managed Care Fireside Chat:
Medicaid Expansion & Other Hot Topics
Thursday, October 19 | 5:30 p.m.
Governor Roy Cooper and NC Department of Health and Human Services Secretary Kody H. Kinsley today announced NCDHHS will launch Medicaid Expansion on Dec. 1, 2023, giving more than 600,000 North Carolinians access to health care.
Medicaid Managed Care
SPECIAL TOPIC:
State Funded Service to Improve Communication Access with Deaf, Hard of Hearing, and DeafBlind
Thursday, September 28 | 5:30 p.m.
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.
