Archive | NC Medicaid

medicaid-enrollment

First Phase of Repairs are Now Complete on the Medicaid Enrollment Broker Directory

NC DHHS announced earlier this week that the first round of updates to Medicaid’s Enrollment Broker Provider Directory are now in place. The directory’s search function now returns only primary care providers and helps searchers more easily locate primary care physicians by their location, business, or organization name as listed in NCTracks. Additional improvements are […]

Continue Reading
medicaid-transformation

DHHS Moves Statewide Start Date of Medicaid Transformation to February 1st, 2020

DHHS announced earlier this week that it will delay the go-live date of Medicaid managed care to February 1st, 2020, due to the state budget situation which is preventing the Department from completing critical startup functions. The newly adjusted timeline only affects counties in Phase 1 that were previously scheduled to begin November 1st. Medicaid […]

Continue Reading
sDowler

NCAFP Past President Dr. Shannon Dowler Named Medicaid’s New Chief Medical Officer

Academy Past President Shannon Dowler, MD (’13) has been named the new incoming Chief Medical Officer for the North Carolina Division of Health Benefits/North Carolina Medicaid. Dr. Dowler has a long history of service in leadership roles in North Carolina. Professionally, she most recently served as the Chief of Community Medicine and Ambulatory Population Health […]

Continue Reading

Several Medicaid Managed Care Meet-and-Greets are Planned Through End of June

DHHS has several regional sessions scheduled through the end of June 2019 that will offer providers an opportunity to meet with representatives of Medicaid managed care health plans. The sessions provide the chance to ask Medicaid subject matter experts specific questions about provider network participation, the Medicaid managed care transition, and more. For a complete […]

Continue Reading
medicaid-reform-cins

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 […]

Continue Reading
medicaid-reform

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 […]

Continue Reading