--- title: Practice Support Services | Pediatric description: Pediatric | Health care practices in North Carolina face many challenges. Our quality improvement coaches (QICs) are trained to work with you to transform the way in which care is delivered in your practice. --- [![nwahec.png](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png?width=2025&height=300&name=WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png "nwahec.png")](https://go.northwestahec.wakehealth.edu/) - [Home](https://go.northwestahec.wakehealth.edu) - [What's New at NWAHEC Blog](https://go.northwestahec.wakehealth.edu/blog) - [NWAHEC Staff](https://go.northwestahec.wakehealth.edu/staff) - [Practice Support Updates](https://go.northwestahec.wakehealth.edu/practicesupport) # Practice Support Update Blog ## [Highlighted Resource: Measles in North Carolina](https://go.northwestahec.wakehealth.edu/practicesupport/highlighted-resource-measles-in-north-carolina) Feb 4, 2026, 2:14:59 PM / by [Janice Moore, MLS](https://go.northwestahec.wakehealth.edu/practicesupport/author/janice-moore) posted in [Pediatric](https://go.northwestahec.wakehealth.edu/practicesupport/topic/pediatric), [measles](https://go.northwestahec.wakehealth.edu/practicesupport/topic/measles) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/highlighted-resource-measles-in-north-carolina#comments-listing) Measles outbreaks have been occurring throughout the US, and North Carolina recorded its first recent case in December 2025.  Health care providers need to be aware of the symptoms, treatments, and risks of this highly infectious disease. To learn more, check out the ADL’s collection of Highlighted Resources: [NC Measles Metrics: a dashboard from the NC Department of Public Health](https://www.dph.ncdhhs.gov/programs/epidemiology/communicable-disease/infectious-respiratory-diseases/measles-rubeola/measles-cases-and-outbreaks-north-carolina#NumberofCasesReportedbyWeek-11520) [What Practice Staff and Managers Need to Know about Measles: a tip sheet from NC AHEC’s Practice Support service line](https://public.3.basecamp.com/p/XQ548t65Z2o753ad77Tc8yto/upload/download/What%20Practice%20Staff%20and%20Managers%20Need%20to%20Know%20about%20Measles.pdf?disposition=attachment) [What Parents Need to Know: patient-focused information from the American Academy of Pediatrics](https://www.healthychildren.org/English/health-issues/vaccine-preventable-diseases/Pages/Measles.aspx)   ![Screenshot 2026-02-04 080010](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Screenshot%202026-02-04%20080010.png?width=500&height=244&name=Screenshot%202026-02-04%20080010.png) [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/highlighted-resource-measles-in-north-carolina) ## [A Collaborative Path to Better Pediatric Behavioral Health: How Twin City Pediatrics Transformed Care with Support from Northwest AHEC](https://go.northwestahec.wakehealth.edu/practicesupport/twincitypeds) Aug 13, 2025, 3:00:00 PM / by [Brooke Kochanski](https://go.northwestahec.wakehealth.edu/practicesupport/author/brooke-kochanski) posted in [mental health](https://go.northwestahec.wakehealth.edu/practicesupport/topic/mental-health), [behavioral health](https://go.northwestahec.wakehealth.edu/practicesupport/topic/behavioral-health), [Pediatric](https://go.northwestahec.wakehealth.edu/practicesupport/topic/pediatric), [practice support](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-support), [collaborative care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/collaborative-care) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/twincitypeds#comments-listing) In the face of rising pediatric mental health needs, Novant Health Twin City Pediatrics found itself at a crossroads. As adolescent mental health concerns such as depression and anxiety became more prevalent, clinicians found themselves increasingly fielding complex and time-consuming questions. These mild to moderate conditions required consistent follow-up and oversight, yet the surge in demand for mental health services made it difficult for patients to access timely care, particularly from providers who accepted their insurance. Many adolescents went without necessary treatment.  Thanks to a powerful partnership with **Northwest AHEC** and the guidance of **Lara Dickerson, MHA,** Senior Quality Improvement Specialist, the practice chose a different path—one of innovation, collaboration, and compassion. | ![IMG\_2293](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/IMG_2293.jpeg?width=500&height=375&name=IMG_2293.jpeg) *Adair Stewart, Dr. Elizabeth Allen, Dr. Gretchen Hoyle, Lara Dickerson, Jennifer Cleland Green, Lauren Stokes* | | --- | ### **The Challenge** Primary care pediatricians face a dilemma. Mental health visits are longer, emotionally taxing, and historically under-reimbursed. Yet the need is undeniable. Twin City Pediatrics chose to lean in—embracing the challenge rather than deflecting it. The question became: *Can mental health care in pediatrics be both impactful and financially viable?* The answer, it turns out, is yes. ### **The Solution: Collaborative Care Model (CoCM)** With coaching from Lara Dickerson and guidance from AHEC Practice Support Services, Twin City Pediatrics implemented the Collaborative Care Model (CoCM).  A practice which emphasizes collaboration between primary care physicians, care managers, and psychiatric consultants to improve access, outcomes, and patient satisfaction within the pediatric medical home.  Key components of the model include: - A **Behavioral Health Care Manager (BHCM)** providing core services like parent coaching, brief therapeutic interventions, and referral coordination. - A **Psychiatric Consultant** offering oversight and subspecialty advice.. - A **Primary Care Provider** trained in pediatric physical health. - **Validated clinical tools** (PHQ-9, GAD-7, Vanderbilt, etc.) for measurement-based care. - Customized **EHR workflows** and a **patient registry** to track progress and enable billing for behavioral health services within the primary care practice. ### **Practice Support Team Impact** The journey began with a conversation at the 2023 NC Pediatric Society Meeting, leading to a partnership with Northwest AHEC. Practice coach Lara Dickerson became a key ally, meeting monthly with the team for two years. Her support included: - Coordinated with internal Novant departments (HR, billing, IT, compliance). - Billing guidance and documentation templates. - Consultation with NC Medicaid on psychiatric consultant roles. - Staff training modules. - Troubleshooting billing issues. - Setting BHCM workload benchmarks. - Secured a **$50,000 Capacity Building Fund grant** from [Community Care of NC](https://www.communitycarenc.org/newsroom/cocm-capacity-building-fund-application) to support BHCM staffing. Thanks to this comprehensive support, the program not only launched - it thrived. ### **The Results** By June 2025, the program became **revenue-positive**, six months ahead of schedule. With monthly BHCM costs of $5,400 and over $13,000 billed in June alone, the practice expects $6,500 in revenue—exceeding expenses by more than $1,100 per month. Today, the program includes a growing number of enrolled patients - many with complex needs - and is delivering tangible improvements in the lives of children and their families. > “The Psychiatric Collaborative Care Model has empowered our practice to provide meaningful, evidence-based mental health care for our pediatric patients. Our success is replicable, sustainable, and deeply impactful.” > — *Gretchen S. Hoyle, MD - Twin City Pediatrics* > “It was amazing to see how this model enables primary care practices to spend adequate time with each patient on physical and mental health concerns, developing treatment plans collaboratively with specialists and making a significant difference for kids in our community.” > — *Christopher Jones, DrPH, MHA - Northwest AHEC* ### **From Patients & Families** > “I’m so glad he’s finally going to get the help he needs.” > “I’ve felt so alone for so long. Having someone to talk to means everything.” > “She is so much better. I can’t thank you enough.” ### **[Read the full Report from Twin City Pediatrics & Gretchen S. Hoyle, MD](https://go.northwestahec.wakehealth.edu/hubfs/A%20Collaborative%20Path%20to%20Better%20Pediatric%20Behavioral%20Health%20-%20Twin%20City%20Peds.pdf)** [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/twincitypeds) ## [Healthy Blue Together Child and Families Specialty Plan Contracting Deadline Approaching](https://go.northwestahec.wakehealth.edu/practicesupport/healthy-blue-together-child-and-families-specialty-plan-contracting-deadline-approaching) Aug 13, 2025, 10:49:21 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid), [Medicaid Managed Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid-managed-care), [family medicine](https://go.northwestahec.wakehealth.edu/practicesupport/topic/family-medicine), [Pediatric](https://go.northwestahec.wakehealth.edu/practicesupport/topic/pediatric), [Contracting](https://go.northwestahec.wakehealth.edu/practicesupport/topic/contracting) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/healthy-blue-together-child-and-families-specialty-plan-contracting-deadline-approaching#comments-listing) From NC Medicaid: Children & Families Specialty Plan The Primary Care Provider (PCP) contracting deadline for Beneficiary Choice Period is September 1, 2025. The Children and Families Specialty Plan (CFSP) is a single, statewide NC Medicaid Managed Care health plan designed to support children, youth and young adults currently and formerly served by the child welfare system. Sept. 1, 2025, is the last day for PCPs to have fully executed contracts with the CFSP for inclusion at the start of the Beneficiary Choice Period.  Go Live Date is 12/1/25.  Providers who wish to participate in CFSP should contact Health Blue Care Together to discuss the contracting process and requirements. For inquiries, please use the following contacts: #### **Email:** - Contracting Inquiries: [NC\_Contracting@healthybluenc.com](mailto:NC_Contracting@healthybluenc.com) - General Questions and Comments: [NC\_Provider@healthybluenc.com](mailto:NC_Provider@healthybluenc.com) #### **Phone:** 1-844-594-5072 For more details on the CFSP, including eligibility, covered services and updates, please visit our [Children and Families Specialty Plan](https://medicaid.ncdhhs.gov/beneficiaries/children-and-families-specialty-plan) website. You can also find more information by reviewing the [What Providers Need to Know](https://medicaid.ncdhhs.gov/what-providers-need-know-children-and-families-specialty-plan-launch-part-1/download?attachment) fact sheet. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/healthy-blue-together-child-and-families-specialty-plan-contracting-deadline-approaching) ## [Highlighted Resource: Talking with Parents and Caregivers About Vaccines](https://go.northwestahec.wakehealth.edu/practicesupport/highlighted-resource-talking-with-parents-and-caregivers-about-vaccines) Jul 23, 2025, 2:45:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Vaccines](https://go.northwestahec.wakehealth.edu/practicesupport/topic/vaccines), [Pediatric](https://go.northwestahec.wakehealth.edu/practicesupport/topic/pediatric), [Vaccination](https://go.northwestahec.wakehealth.edu/practicesupport/topic/vaccination) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/highlighted-resource-talking-with-parents-and-caregivers-about-vaccines#comments-listing) ![Happy group of children together at the park](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Happy%20group%20of%20children%20together%20at%20the%20park.jpeg?width=300&height=269&name=Happy%20group%20of%20children%20together%20at%20the%20park.jpeg)A new toolkit from NCDHHS offers a variety of resources to support healthcare providers with giving vaccines. The information and tools address the challenges involved in providing vaccines, including conversation guides, communication tools, and population-specific guidance. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/highlighted-resource-talking-with-parents-and-caregivers-about-vaccines) ## [🌟 Stay Ahead in Pediatric Care: Join Our Pediatric Pulse Live Webinars!](https://go.northwestahec.wakehealth.edu/practicesupport/stay-ahead-in-pediatric-care-join-our-pediatric-pulse-live-webinars) Jul 18, 2025, 7:30:00 AM / by [Brooke Kochanski](https://go.northwestahec.wakehealth.edu/practicesupport/author/brooke-kochanski) posted in [Pediatric](https://go.northwestahec.wakehealth.edu/practicesupport/topic/pediatric), [Vaccination](https://go.northwestahec.wakehealth.edu/practicesupport/topic/vaccination), [immunization](https://go.northwestahec.wakehealth.edu/practicesupport/topic/immunization) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/stay-ahead-in-pediatric-care-join-our-pediatric-pulse-live-webinars#comments-listing) ![AdobeStock\_539637206](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/AdobeStock_539637206.jpeg?width=300&height=200&name=AdobeStock_539637206.jpeg)Are you a healthcare professional passionate about providing the best care for children? Don’t miss the opportunity to enhance your knowledge and earn contact hours with our **Pediatric Pulse Live Webinars**—a dynamic series designed to keep you informed on the latest in pediatric healthcare. Each webinar offers **2 contact hours** and delivers **essential updates** on timely topics in pediatric care. Whether you're a nurse, physician, or allied health professional, these sessions are crafted to support your clinical practice and deepen your understanding of complex pediatric issues. --- ## 🧬 August 12, 2025 | 11AM–1PM  ### **Caring for Children with Genetic Conditions & Their Families** This insightful session will explore: - The **incidence and pathophysiology** of selected pediatric genetic conditions - **Clinical priorities** in managing these conditions - The **ethical, legal, and social implications** of genetic diagnoses - Strategies for **family-centered care** and compassionate communication You’ll leave equipped with evidence-based tools to support children and families navigating the challenges of genetic disorders. 👉 **Register Now - [https://northwestahec.wakehealth.edu/t3/courses-and-events/75876/pediatric-pulse-caring-for-children-w-genetic-conditions-their-families](https://northwestahec.wakehealth.edu/t3/courses-and-events/75876/pediatric-pulse-caring-for-children-w-genetic-conditions-their-families)** --- ## 💉 September 11, 2025 | 11AM–1PM ### **Vaccines and Immunizations: What Every Pediatric Provider Needs to Know** Stay current with: - The **latest vaccine recommendations** and immunization schedules - Clinical indications for **various pediatric vaccines** - How to address **vaccine hesitancy** with empathy and evidence - Tools for **effective communication** with parents and caregivers This session empowers you to be a confident advocate for immunization in your community. 👉 **Register Now - [https://northwestahec.wakehealth.edu/t3/courses-and-events/75872/pediatric-pulse-vaccines-and-immunizations](https://northwestahec.wakehealth.edu/t3/courses-and-events/75872/pediatric-pulse-vaccines-and-immunizations)** --- ### 🎓 Why Attend? - Earn **2 contact hours** per session - Learn from **expert presenters** in pediatric care - Gain **practical strategies** for real-world application - Participate in **live Q&A** and interactive discussions --- Don’t miss this chance to sharpen your skills and stay informed on the latest in pediatric healthcare. **Register today** and be part of a community committed to excellence in caring for children. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/stay-ahead-in-pediatric-care-join-our-pediatric-pulse-live-webinars) ## [Do you know XEC? New SARS-CoV-2 Variant](https://go.northwestahec.wakehealth.edu/practicesupport/do-you-know-xec-new-sars-cov-2-variant) Nov 26, 2024, 2:00:00 PM / by [Leslie D McDowell, DNP, ANP-BC, RN](https://go.northwestahec.wakehealth.edu/practicesupport/author/leslie-d-mcdowell-dnp-anp-bc-rn) posted in [COVID-19](https://go.northwestahec.wakehealth.edu/practicesupport/topic/covid-19), [public health](https://go.northwestahec.wakehealth.edu/practicesupport/topic/public-health), [family medicine](https://go.northwestahec.wakehealth.edu/practicesupport/topic/family-medicine), [Pediatric](https://go.northwestahec.wakehealth.edu/practicesupport/topic/pediatric), [Vaccination](https://go.northwestahec.wakehealth.edu/practicesupport/topic/vaccination) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/do-you-know-xec-new-sars-cov-2-variant#comments-listing) Once again, a new SARS-CoV-2 variant is likely to be the gift many did not want to receive from attending holiday gathering! ![virus](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/virus.png?width=300&height=159&name=virus.png) You may recall in the early days of the COVID-19 pandemic, there was frequent breaking news about each latest variant of the virus (remember Delta and Omicron?). Now that the worldwide public health emergencies have expired, detecting, monitoring, and responding to new variants has become more challenging.  [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/do-you-know-xec-new-sars-cov-2-variant) ## [Improving Childhood Immunization Rates: Need a Plan?](https://go.northwestahec.wakehealth.edu/practicesupport/improving-childhood-immunization-rates-need-a-plan) Apr 12, 2023, 8:33:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid Managed Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid-managed-care), [Pediatric](https://go.northwestahec.wakehealth.edu/practicesupport/topic/pediatric), [Preventive Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/preventive-care), [immunization](https://go.northwestahec.wakehealth.edu/practicesupport/topic/immunization) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/improving-childhood-immunization-rates-need-a-plan#comments-listing) There are many challenges faced by practices and providers as they strive to ensure all children are fully immunized and protected against vaccine-preventable diseases.  [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/improving-childhood-immunization-rates-need-a-plan) ## [Get Paid for COVID-19 Vaccine Outreach for Medicaid Beneficiaries](https://go.northwestahec.wakehealth.edu/practicesupport/get-paid-for-covid-19-vaccine-outreach-for-medicaid-beneficiaries) Oct 27, 2021, 2:30:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid), [COVID-19](https://go.northwestahec.wakehealth.edu/practicesupport/topic/covid-19), [Primary Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/primary-care), [family medicine](https://go.northwestahec.wakehealth.edu/practicesupport/topic/family-medicine), [Pediatric](https://go.northwestahec.wakehealth.edu/practicesupport/topic/pediatric) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/get-paid-for-covid-19-vaccine-outreach-for-medicaid-beneficiaries#comments-listing) 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. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/get-paid-for-covid-19-vaccine-outreach-for-medicaid-beneficiaries) ## [COVID-19 Vaccines for Children](https://go.northwestahec.wakehealth.edu/practicesupport/covid-19-vaccines-for-children) Oct 27, 2021, 12:27:36 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [COVID-19](https://go.northwestahec.wakehealth.edu/practicesupport/topic/covid-19), [Primary Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/primary-care), [Pediatric](https://go.northwestahec.wakehealth.edu/practicesupport/topic/pediatric) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/covid-19-vaccines-for-children#comments-listing) With the anticipated approval for COVID-19 vaccines to be expanded to include younger children, now is a good time to review evidence-based tools and resources provided by the Center for Disease Control and Prevention. You are a trusted source of information on this important topic, and it can be difficult sometimes to manage the mis-information that has many parents so concerned.   [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/covid-19-vaccines-for-children) ## [Questions about NC Medicaid?](https://go.northwestahec.wakehealth.edu/practicesupport/questions-about-nc-medicaid) Oct 20, 2021, 4:14:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid Managed Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid-managed-care), [Primary Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/primary-care), [Pediatric](https://go.northwestahec.wakehealth.edu/practicesupport/topic/pediatric), [care planning](https://go.northwestahec.wakehealth.edu/practicesupport/topic/care-planning) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/questions-about-nc-medicaid#comments-listing) Visit the [NC Medicaid Help Center](https://ncgov.servicenowservices.com/sp_ncmedicaid?id=kb_view_helpcenter) for an easily searchable database of questions and answers on a variety of important topics. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/questions-about-nc-medicaid) [All posts](https://go.northwestahec.wakehealth.edu/practicesupport/all) [Next](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pediatric/page/2) This is a search field with an auto-suggest feature attached. - There are no suggestions because the search field is empty. ### Practice Support Services Health care practices in North Carolina face many challenges. Our team of quality improvement coaches (QICs) have skills and expertise to support you in your transformation efforts. 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