The North Carolina Department of Health and Human Services Division of Health Benefits and North Carolina AHEC, in conjunction with the five Medicaid managed care health plans, will host a Virtual Statewide Primary Care Quality Forum to help providers, practice managers, and quality managers succeed with Medicaid Managed Care quality initiatives.

This webinar will provide an overview of the Pilot program, with a focus on the essential roles and responsibilities of human services organizations that will provide Pilot services to eligible Medicaid members. The webinar will also highlight important upcoming implementation milestones and next steps. The session will be geared towards human services organizations that are interested in providing Pilot services, but is open to the public. There will be time reserved at the end for Q&A. 

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.  

On May 26, 2021, The North Carolina Department of Health and Human Services (NCDHHS) announced that all Medicaid beneficiaries currently eligible to transition to managed care have selected or been assigned a health plan with 97% enrolled in a plan that includes their current primary care provider (PCP) in network.   

Pediatric Practices who have not already signed up for the COVID-19 Vaccine Management System (CVMS) should have received an email from the North Carolina Department of Health and Human Services (NC DHHS) with important updates on the COVID-19 vaccine program.  See below for more details. 

Pediatric Practices who have not already signed up for the COVID-19 Vaccine Management System (CVMS) should have received an email from the North Carolina Department of Health and Human Services (NC DHHS) with important updates on the COVID-19 vaccine program. See below for more details.

The North Carolina Department of Health and Human Services Division of Health Benefits and North Carolina AHEC are offering a bimonthly evening webinar series to help prepare providers, practice managers, and quality managers for Medicaid Managed Care going live on July 1, 2021.

New Resources are Now Available on the QPP Resource Library 

As a reminder, once an AMH Tier 3 practice has attested to meeting Glidepath payment eligibility in NCTracks, DHHS will validate that the practice is enrolled with NC Medicaid and attested as an AMH Tier 3 practice. DHHS then confirms the attestation with the respective pre-paid health plans in order to validate that each Tier 3 practice has met contracting and testing criteria.   

North Carolina Food and Nutrition Services participants can now purchase groceries online using their Electronic Benefit Transfer cards at an additional authorized online EBT retailer,  Publix Super Markets Inc. This flexibility will allow participants to buy food while promoting social distancing to prevent the spread of COVID-19 and will help families with transportation and mobility barriers.