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.
Re-verification requirement for NC Medicaid
Feb 22, 2023 9:43:16 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, nctracks, public health emergency
Medicaid Managed Care Fireside Chat Feb 16th
Feb 15, 2023 8:15:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, Tailored Plans
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.
NCTracks: Important Changes Coming
Feb 6, 2023 8:16:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, nctracks, practice management
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.
In Case You Missed It.....
Feb 1, 2023 2:00:00 PM / by Practice Support Team posted in Medicaid Managed Care, practice management
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.
NC Health Choice is moving to Medicaid
Jan 31, 2023 8:30:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, Primary Care, practice management
On April 1, 2023, beneficiaries currently receiving NC Health Choice coverage will move to NC Medicaid.
Reminder for NC Medicaid Providers
Jan 25, 2023 2:00:00 PM / by Practice Support Team posted in Medicaid Managed Care, practice management
Provider Data Management (PDM)/Credentialing Verification Organization (CVO) Overview - A New Enrollment & Credentialing Solution.
Save the Date for Medicaid Managed Care Fireside Chat (and other webinars on special topics)!
Jan 10, 2023 8:30:00 AM / by Practice Support Team posted in Medicaid Managed Care
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.
Enhanced Medical Home Payments for Advanced Medical Homes Serving Members Eligible for Tailored Care Management
Nov 23, 2022 9:30:00 AM / by Practice Support Team posted in Medicaid Managed Care, advanced medical home, tailored care management
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.
Medicaid Managed Care Fireside Chat Nov. 17th: Tailored Plan 101: Ready, Set, Launch!
Nov 15, 2022 3:59:20 PM / by Practice Support Team posted in Medicaid Managed Care, Primary Care, tailored care management, practice management, Tailored Plans
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 you prepare for the launch of Tailored Plans in April of 2023. This monthly series will continue over the next several months to ensure that all of us are ready for launch.
Letters going out to Medicaid Direct beneficiaries eligible for Tailored Care Management
Nov 9, 2022 2:30:00 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, tailored care management, Tailored Plans
Your patients who are eligible for Tailored Care Management will receive a letter between now and November 17th.