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.
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
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.
United Health Care Medicaid Quality and Health Equity Care Gap Incentives Increased
Oct 19, 2022 2:30:00 PM / by Practice Support Team posted in Medicaid Managed Care, Primary Care, Preventive Care
United Health Care Community Plan 2022 CP-PCPi care gap and health equity closure rates are tripling between October 1 and December 31, 2022!
Panel Management for Advanced Medical Homes in Standard Plans
Sep 14, 2022 8:15:00 AM / by Practice Support Team posted in Medicaid Managed Care, advanced medical home
In response to provider concerns about ongoing member assignment and panel management issues for Advanced Medical Homes (AMHs), North Carolina Medicaid is working with the Standard plans to analyze errors and create easier pathways for providers to resolve panel issues.
Medicaid Managed Care Back Porch Chat: Tailored Plan 101: Ready, Set, Launch!
Sep 8, 2022 7:30:00 AM / 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 December of 2022.
Still undecided about contracting with Tailored Plans? Projected Panel data by practice available now!
Aug 31, 2022 10:11:00 AM / by Practice Support Team posted in Medicaid Managed Care, Tailored Plans
Today we bring you updates from North Carolina Division of Health Benefits...
Medicaid Managed Care Back Porch Chat: Tailored Plan 101: Ready, Set, Launch!
Aug 17, 2022 1:30:00 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 December of 2022.
You're Invited: Carolina Complete Health and Partners Health Management Info Session
Aug 3, 2022 10:15:00 AM / by Practice Support Team posted in Medicaid Managed Care, Primary Care, Tailored Plans
As part of NC Medicaid Transformation, Tailored Plans will launch on December 1, 2022.
North Carolina is building on the current LME/MCO services to include physical health and pharmacy services for Medicaid beneficiaries with the most complex needs.
NC Medicaid Managed Care: Tailored Plans
Aug 2, 2022 9:30:00 AM / by Practice Support Team posted in Medicaid Managed Care, Tailored Plans
What is a Tailored Plan?
A Tailored Plan is a North Carolina Medicaid and NC Health Choice health plan. It offers physical health, pharmacy, care management and behavioral health services. It is for members who may have significant mental health needs, severe substance use disorders, intellectual/developmental disabilities (I/DDs) or traumatic brain injuries (TBIs). Tailored Plans offer added services for members who qualify.
https://ncmedicaidplans.gov/learn/get-answers/tailored-plan-services
This week the Northwest AHEC Practice Support team offers some reminders and highlights from the July 21, 2022 Back Porch Chat. If you were not able to attend, we encourage you to review the slides and recording here.