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 […]
North Carolina Medicaid has issued a series of questions and answers regarding concerns about the provider directory being used by the enrollment broker for Medicaid Managed Care. The Department has developed a document to answer several of these concerns that can be downloaded here.
It’s full steam ahead with Medicaid Managed Care! NC DHHS has announced that its Medicaid Managed Care call center (833-870-5500) and its official enrollment website both went live on June 28th. Medicaid beneficiaries are already using both to learn more about managed care and enroll in a health plan. The program is currently on track […]
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 […]
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 […]
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 […]
NC DHHS is moving forward with paying primary care at 2018 Medicare rates for Medicaid. As soon as the official State Plan Amendment is approved by CMS (expected to be later this spring or early summer), all payments will be retroactive to January 1st. For over a year, the NCAFP advocacy team, along with its […]
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 […]
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; […]
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, […]
Here's the 3rd short video featuring our very own Dr. Karen Smith @KLSmithMD answering this question: How long for medication-assisted treatment to stabilize enough for patient to reengage with family, friends & begin rebuilding? https://t.co/kkLIbdEQmX
The AAFP wants to hear your vision of the future of family medicine. Check out this toolkit to spark ideas on how you can amplify the hard-won progress made by family physicians and celebrate 50th anniversary of the speciality. https://t.co/ubkZViVPMV
The Making of The House of God -video made on 40th anniversary of book @myncafp #fmrevolution https://t.co/qbZDntpKJr
And without rural hospitals it is hard to have rural physicians, and without either rural communities perish. @myncafp @nchospitals #ncga
Rural Hospitals in NC are struggling without #MedicaidExpansion. 37% are in the red & 17% lost more than 3%. Average rural hospital in non-expansion states lost money, in expansion states they made a 1.5% margin. See how each NC rural hospital is doing: https://t.co/e7lkZ2MQho
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