End-date of some flexibilities set to sunset March 31 extended to June 30, 2022
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
Curious about Value-Added Services in the Pre-paid Health Plans?
Mar 16, 2022 2:30:00 PM / by Practice Support Team posted in Medicaid
All health plans offer the same basic benefits and services. Some health plans also offer added services. View health plans to learn about the added services that each health plan offers.
Medicaid Managed Care | February Webinars
Feb 8, 2022 4:03:00 PM / by Practice Support Team posted in Medicaid, Fireside Chat Webinar
Please join NC Medicaid Chief Medical Officer (CMO) Dr. Shannon Dowler, along with the NC Medicaid Managed Care Plan CMOs, for the February Fireside Chat on Thursday, February 17 from 5:30-6:30 p.m.
Medicaid Managed Care 'Hot Topics'
Jan 12, 2022 7:59:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, Webinar, family medicine
Save the date and join in on Thursday, January 20 for the next webinar on Medicaid Managed Care "Hot Topics".
Children in Foster Care: NC Medicaid Direct or Medicaid Managed Care?
Jan 11, 2022 7:59:12 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, family medicine, Pediatrics
The North Carolina Department of Health and Human Services (NCDHHS) transitioned most
Medicaid beneficiaries to NC Medicaid Managed Care (Standard Plans) on July 1, 2021.
NC Medicaid Revising and/or End-Dating All Temporary COVID-19 Rate Increases
Jan 6, 2022 8:00:00 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care
Effective Dec. 31, 2021, NC Medicaid will end several of the temporary COVID-19 rate increases.
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NCDHHS Publishes Summary of Initial Network Adequacy Results for Standard Plans
Jan 4, 2022 12:36:32 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, Primary Care
The North Carolina Department of Health and Human Services (NCDHHS) today published summary network adequacy results for Standard Prepaid Health Plans (Standard Plans) which were in effect for the July 1, 2021 “go-live." Network adequacy measures the ability of each NC Medicaid Managed Care health plan to deliver covered benefits by providing adequate access for members to all covered health care services through a network of contracted health care providers. Network adequacy and accessibility standards help verify that members have access to providers and offer an important tool for NC Medicaid to monitor and measure that access.
Temporary Provider Rate Increases Extended Through 12/31
Nov 30, 2021 2:18:07 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care
Temporary provider rate increases set to expire Nov 30 now extended through Dec 31.
Medicaid Communication Access Reimbursement
Nov 17, 2021 4:30:00 PM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, Primary Care, communication
The Division of Services for the Deaf and Hard of Hearing (DSDHH) has partnered with the Division of Health Benefits to establish a pilot initiative for communication access services for patients (and companions) who have Medicaid and Health Choice.
Get Paid for COVID-19 Vaccine Outreach for Medicaid Beneficiaries
Oct 27, 2021 2:30:00 PM / by Practice Support Team posted in Medicaid, COVID-19, Primary Care, family medicine, Pediatric
Effective Oct. 22, 2021, NC Medicaid-enrolled providers can bill code 99401 with HM modifier for telephone outreach to unvaccinated Medicaid beneficiaries. The goal of the outreach is to educate the beneficiaries on the vaccine and assist them in scheduling an appointment, ideally in the office where the outreach is originated.
