The NC Medicaid Provider Services team is partnering with NC AHEC to host virtual Health Plan Meet and Greet sessions.  NC Medicaid consultants and health plan representatives will be available to address your concerns and questions about the transition from Medicaid fee-for-service to Medicaid Managed Care.  Virtual Meet and Greet sessions are structured as conversations between providers and Managed Care Health Plan staff with a Q&A for participants.  

Advanced Medical Homes Tier 3 “Glidepath” Payments Update   

In February, NC Medicaid announced that effective April 1, 2021, NC Medicaid will offer time-limited payments to practices that have attested as an AMH Tier 3 provider as part of the transition to Medicaid Managed Care. 

Medicaid and NC Health Choice providers now have a supplemental resource to research their questions and submit inquiries.  

Medicaid Transformation Provider Services and North Carolina AHEC are conducting a series of Virtual Office Hours for providers beginning in March 2021. These sessions offer an interactive format for providers to have their questions answered.  

Effective January 1, 2021, NC Medicaid and NC Health Choice is temporarily covering Healthy Opportunities screenings to encourage providers to gain capacity for screening Medicaid beneficiaries for unmet health-related resource needs and referring them to appropriate community-based resources, prior to the launch of Medicaid managed care. 

Medicaid recently released the Temporary Clinical Policy Modifications: Payment for Health Opportunities Screening and Referral. 

Recently, NC Division of Health Benefits (NC DHB) released some new provider resources on their Provider Playbook: Readiness page to help you prepare for the July 1, 2021 launch of Medicaid Managed Care.   

​​Medicaid Fireside Chat Series: Quality, Tracking quality performance, outcomes and expectations 

Are you planning on administering COVID-19 Vaccines in your office? 

NCDHHS has shared the Medicaid and NC Health Choice billing guidance for both the Pfizer-BioNTech and Moderna vaccines in two Special Bulletins (#147 and #148).  Please see some of the billing highlights and links to the bulletins below. 

Please join NC Medicaid Division of Health Benefits Deputy Secretary Dave Richard, NC Department of Health and Human Services Secretary Mandy Cohen M.D., Assistant Secretary for NC Medicaid Jay Ludlam and other senior leaders for a webinar on the state’s transition to Medicaid Managed Care.