Archive | NC Medicaid

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DHHS Issues Policy Paper Describing How CINs will Assist Advanced Medical Homes

A new policy paper released by NC DHHS describes how clinically-integrated networks (CINs) can help Advanced Medical Homes (AMHs) meet the care coordination and management requirements as listed in the Preferred Health Plans RFP and the AMH Provider Manual. The paper describes methods for increasing administrative efficiencies in these activities, while elaborating on the roles […]

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Provider Transition to Medicaid Managed Care: New Webinar Series Will Launch March 28th

NC Medicaid will launch a webinar series to support providers and practices during their transition to NC Medicaid Managed Care. “General” webinars are overviews of significant changes and features of the managed care program. “Topical” webinars are in-depth reviews of specific managed care topics. The first webinar in this series, Provider Transition to NC Medicaid […]

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Tool Available to Help Practices Examine Medicaid Manage Care Contracts

The NCAFP, in collaboration with Health Management Associates and the AAFP, has developed a two-page checklist of things to consider and questions to ask before contracting with one of the state’s recently-named Medicaid Managed Care organizations. While the document does not substitute for legal advice — and practices should seek legal guidance before signing a […]

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State Announces Prepaid Health Plan Contracts for Medicaid Managed Care

The NC Department of Health and Human Services announced the selection of Prepaid Health Plans on February 4th that will participate in Medicaid Managed Care when the program launches in November 2019. Statewide contracts were awarded to AmeriHealth Caritas North Carolina, Inc.; Blue Cross and Blue Shield of North Carolina; UnitedHealthcare of North Carolina, Inc; […]

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Physicians Can Look to CCNC/CCPN for Help in Achieving Advanced Medical Home Tier 3 Status

Under North Carolina’s Medicaid Transformation plan, practices attesting as Tier 3 Advanced Medical Homes (AMHs) can receive care management revenue and value-based payments from health plans for meeting quality targets. Irrespective of your practice type (system-based or independent), practices need to reach five categories of requirements to attest as Tier 3. Without the right partner, […]

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Significant Medicaid Rate Increase for Primary Care: What You Need to Know

ICYMI: Just before the holidays, NC Department of Health and Human Services announced a major Medicaid rate increase for Evaluation and Management (E&M) codes for primary care beginning in early 2019. Primary care physicians and other primary care providers as defined under the Affordable Care Act (family physicians, pediatricians, some general internists, and Ob/Gyns), will […]

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Advanced Medical Home Training for Medicaid Managed Care Happening Now

Under NC’s new Medicaid Managed Care program beginning late next year, Advanced Medical Homes (AMHs) will be eligible for higher payments for providing local care management functions. NC DHHS has already developed standards for AMHs and will be responsible for initially certifying participating practices. The Department has been holding a series of webinars and regional […]

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Advanced Medical Homes will be Eligible for Higher Pay in Medicaid Managed Care

Learn How to Transition Your Practice with DHHS’s Training Webinars and Regional Forums Under North Carolina’s new Medicaid Managed Care program set to begin later next year, Advanced Medical Homes (AMHs) will be eligible for higher payments for carryingout local care management functions. DHHS has already developed standards for what an AMH will need to […]

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