NC Medicaid Division of Health Benefits posted a Medicaid Managed Care Provider Update on March 16, 2021. Below are some important highlights.
Key Dates for Transitioning to Medicaid Managed Care
Provider Contracting Reminders
Tailored Care Management Certification
To continue supporting providers interested in obtaining certification as an Advanced Medical Home Plus (AMH+) practice or Care Management Agency (CMA), the Department extended the Round 1 application deadline from March 1, 2021 to June 1, 2021. More information is available here.
New Resources
PHP Quick Reference Guides
NC Medicaid’s Managed Care Prepaid Health Plans (PHPs) have created quick reference guides to include the most current and comprehensive information for providers. Each quick reference guide covers:
AmeriHealth Caritas North Carolina
https://www.amerihealthcaritasnc.com/provider/forms/index.aspx
Carolina Complete Health
https://network.carolinacompletehealth.com/resources/manuals-and-forms.html
Healthy Blue (Blue Cross Blue Shield)
https://provider.healthybluenc.com/north-carolina-provider/manuals-and-guides
United Healthcare Community Plan of North Carolina
https://www.uhcprovider.com/en/health-plans-by-state/north-carolina-health-plans/nc-comm-plan-home/nc-cp-training.html
WellCare of North Carolina
https://www.wellcare.com/North-Carolina/Providers/Medicaid
Health Plan Training Resources for Providers
For training resources, please visit the health plan training websites below:
AmeriHealth Caritas North Carolina
https://www.amerihealthcaritasnc.com/provider/training-and-education/provider-training.aspx
Carolina Complete Health
https://network.carolinacompletehealth.com/resources/education-and-training.html
Healthy Blue (Blue Cross Blue Shield)
https://provider.healthybluenc.com/north-carolina-provider/training-academy
United Healthcare Community Plan of North Carolina
https://www.uhcprovider.com/en/health-plans-by-state/north-carolina-health-plans/nc-comm-plan-home/nc-cp-training.html
WellCare of North Carolina
https://www.wellcare.com/en/North-Carolina/Providers/Medicaid/Training/Medicaid-Training