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.
Providers with Denials for Healthy Opportunities Screening, Assessment and Referrals Claims due to Edit 02088 May Now Resubmit Claims
On Wednesday April 14th, 2021 NCDHHS posted Provider Data Updates highlighting the importance of ensuring provider data is correct in NCTracks. Please see important highlights below and click on the links for more complete information.
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.
The NC Department of Health and Human Services recently released the Advanced Medical Home (AMH) Provider Manual 2.0. This version reflects program expectations as well as recent program modifications and changes that impact provider contracts. It replaces the prior version issued on Dec. 12, 2019.
Notice Date: Feb. 1, 2021