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.

Please join NC Medicaid Chief Medical Officer (CMO) Dr. Shannon Dowler, along with all the NC Medicaid Managed Care plan CMO’s, for the October Back Porch Chat on October 21 from 5:30 - 6:30 p.m.

This webinar will review new COVID-19 surge response offerings from NC Medicaid, including a COVID-19 vaccine incentive program for NC Medicaid beneficiaries. It will also review how to help a patient who needs Behavioral Health and Individual Developmental Disabilities (I/DD) Tailored Plan behavioral health services move from a standard plan to NC Medicaid Direct.

In efforts at improving transparency, this webinar will provide an overview of a claims dashboard and clinical quality measures, and show results across plans in our first quarter of NC Medicaid Managed Care.

Finally, it will summarize the “latest and greatest” in recent Medicaid bulletins and answer your questions. Please use this link to submit your questions in advance.

For those serving NC Medicaid Direct beneficiaries, be on the lookout for a new primary care case management (PCCM) agreement from NC Carolina Community Care Networks within the next 1-2 weeks. 

2021 is the last year for eligible professionals to participate in the NC Medicaid EHR Incentive program, and October 31 is the deadline to submit your attestations! The North

Please join NC Medicaid Chief Medical Officer (CMO) Dr. Shannon Dowler, along with all the NC Medicaid Managed Care plan CMO’s, for the October Back Porch Chat on October 21 from 5:30 - 6:30 p.m.

This webinar will review new COVID-19 surge response offerings from NC Medicaid, including a COVID-19 vaccine incentive program for NC Medicaid beneficiaries. It will also review how to help a patient who needs Behavioral Health and Individual Developmental Disabilities (I/DD) Tailored Plan behavioral health services move from a standard plan to NC Medicaid Direct.

In efforts at improving transparency, this webinar will provide an overview of a claims dashboard and clinical quality measures, and show results across plans in our first quarter of NC Medicaid Managed Care.

Finally, it will summarize the “latest and greatest” in recent Medicaid bulletins and answer your questions. Please use this link to submit your questions in advance.

What is the Request to Move to NC Medicaid Direct Process? 

To provide some clarity on prior authorization submissions, NCDHHS issued a NC Medicaid Managed Care Provider Update on Friday July 9, 2021 that includes  information about claims submission and prior authorizations under Medicaid managed care.  

This is a friendly reminder that there are only four months left to apply for a final payment of up to $8500 from the NC Medicaid EHR Incentive Program [medicaid.ncdhhs.gov].  

It’s hard to believe the Medicaid Managed Care launch is upon us.  The past year and a half we have experienced many challenges to be sure. You can rest assured your Northwest AHEC Practice Support team is here to help you navigate these changes.  Below are some new resources NCDHHS has provided to help you and your practice as they launch Medicaid Managed Care. 

With Medicaid Transformation comes the introduction of new points of contact for beneficiaries, such as the Enrollment Broker and health plans. A long-term goal of NC Medicaid is to provide a single point of contact – one number – for beneficiaries to call for assistance. For now, please try to direct beneficiaries to the appropriate contact using the information provided in this guide. The attached tables provide the various points of contact, key responsibilities, and phone numbers and/or websites beneficiaries can use.