In late March, NCDHHS held a 'Virtual Office Hours' event covering Provider Enrollment Hot Topics and Reminders.
Important FAQs and Facts about NC Tracks
Apr 21, 2022 7:30:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, NC Tracks
NC Medicaid: New Preferred Drug List Formulary
Apr 20, 2022 9:00:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care
Updated Single Preferred Drug List (PDL) for Medicaid: A new single Preferred Drug List Formulary became effective April 1. Please note that NC Statute 108D-65(6)(b) requires all PHPS/Medicaid Plans use the same drug formulary established by the Department.
Back Porch Chat: Medicaid Managed Care Hot Topics
Apr 19, 2022 8:00:00 AM / by Practice Support Team posted in Medicaid Managed Care
Please join NC DHHS Chief Medical Officer for Behavioral Health & Intellectual & Developmental Disabilities (IDD), Dr. Carrie Brown, NC Medicaid Chief Quality Officer, Kelly Crosbie, and Director of the North Carolina Area Health Education Centers (NC AHEC), Hugh Tilson alongside guest speakers from the provider community for the April Back Porch Chat on Thursday, April 21 from 5:30-6:30 p.m.
Extension of NC State of Emergency Temporary Flexibilities
Mar 31, 2022 7:30:00 AM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Medicaid, Medicaid Managed Care
End-date of some flexibilities set to sunset March 31 extended to June 30, 2022
Participate in Medicaid Quality Improvement Work with NC AHEC!
Mar 23, 2022 2:26:00 PM / by Practice Support Team posted in Medicaid Managed Care, Quality Improvement, diabetes, Pediatrics, immunization
You’re Invited to Participate in Medicaid Quality Improvement Work with NC AHEC — your gateway to Population Health Improvement and Shared Savings!
Taxonomy Enrollment Requirement Reminders for Claim Payment
Mar 16, 2022 9:30:00 AM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Medicaid Managed Care
Medicaid and prepaid health plans (PHPs) have identified a trend in claim denials related to taxonomy enrollment and credentialing. As a reminder, the taxonomy submitted on a claim for billing, rendering and attending providers must be a taxonomy for which the provider is enrolled with NC Medicaid.
Fireside Chat: Medicaid Managed Care Hot Topics Thursday March 17, 5:30 - 6:30 PM
Mar 9, 2022 6:00:00 PM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Medicaid Managed Care
Please join NC Medicaid Chief Medical Officer Dr. Shannon Dowler, Chief Quality Officer Kelly Crosbie, Maternal Health Medical Director Dr. Velma Taormina and Deputy Director of Member Operations Carolyn McClanahan for the March Fireside Chat on Thursday, March 17 from 5:30-6:30 p.m.
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NC Medicaid PHP Healthy Blue adds 'Known Issues' bulletin to website
Mar 2, 2022 4:08:26 PM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Medicaid Managed Care
Healthy Blue, an NC Medicaid Pre-Paid Health Plan, has updated its Healthy Blue Provider page to include a 'Known Issues Bulletin' of issues the PHP is working to resolve.
News You Can Use: Pre-paid Health Plan Insurance Plan ID numbers
Feb 16, 2022 5:30:00 PM / by Practice Support Team posted in Medicaid Managed Care
Unsure whether to file claims with NC Medicaid ID numbers vs. Pre-paid Health Plan member numbers? We've contacted the PHPs in our region and have info!
Medicaid Managed Care WEBINAR SERIES: Quality & Population Health
Jan 24, 2022 4:07:48 PM / by Practice Support Team posted in Medicaid Managed Care, NCAHEC, population health
This series, formerly the Advanced Medical Home (AMH) Webinar Series, is designed to support practice managers, quality improvement professionals, care coordinators, and others within your practice who are responsible for meeting the NC Medicaid Managed Care provider requirements. All webinars are from 5:30-6:30 PM. Join us for one or for all!
Thursday, February 24 | Evaluating Medicaid Transformation
Thursday, March 24 | COVID-19 Vaccination in the Medicaid Population
Thursday, April 28 | Topic coming soon!
Thursday, May 26 | Topic coming soon!
