Archive | NC Medicaid

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DHHS Announces Expanded Regions for Carolina Complete Health

NC DHHS announced in early October that it has expanded the regions awarded to Carolina Complete Health Inc. (CCH) under the state’s transition to Medicaid managed care. In addition to serving Regions 3 and 5, Carolina Complete Health will also serve Region 4 that includes Alamance, Caswell, Chatham, Durham, Franklin, Granville, Johnston, Nash, Orange, Person, […]

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medicaid-enrollment

Medicaid Managed Care Open Enrollment Expands Statewide

Statewide open enrollment for Medicaid Managed Care began earlier this week, and most Medicaid patients can now choose both a managed care pre-paid health plan (PHP) and a primary care physician. All NCAFP family physician members/practices are being urged to communicate with their Medicaid patients about enrolling, including what plans they are participating with and […]

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medicaid-enrollment

More News About Medicaid Enrollment Broker Provider Directory

Effective Wednesday (10/2/2019), Medicaid Managed Care’s Enrollment Broker Provider Directory no longer supports searching for providers by specialty. DHHS has elected to remove the “Select a provider specialty” feature from both the “Find a primary care provider” page and from the “Filter by” page. Users must now search for a practice by geographic location and/or […]

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medicaid-transformation

DHHS Sets Medicaid Contracting Deadline of November 15th, 2019 for Physicians and Practices

DHHS has set a contracting deadline of Friday, November 15th for all physicians and practices wishing to serve Medicaid patients under managed care and be auto-assigned patients who do not actively choose their primary care provider. Family physicians and practices who do not contract with health plans by this deadline risk losing patients, as health […]

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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 […]

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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 […]

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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 […]

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