Archive | NC Medicaid

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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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NCAFP Asks DHHS to Set Medicaid Rates at Medicare Level When Moving to Managed Care

In response to a recently released concept paper entitled, Supporting Provider Transition to Medicaid Managed Care, both the NCAFP and the NC Pediatric Society have called on NC DHHS to set primary care rate floors for Medicaid managed care at Medicare rates. During 2013-14, the federal government assisted states in increasing Medicaid rates to be […]

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NC DHHS Releases Policy Paper on Provider Transition to Medicaid Managed Care

The North Carolina Department of Health and Human Services (DHHS) released a policy paper for health care providers earlier this week that contains guidance on the upcoming transition to Medicaid managed care that is expected to launch next year. Titled, “Supporting Provider Transition to Medicaid Managed Care,” the paper describes what Medicaid providers should expect […]

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NC Medicaid Program Authorizes Temporary Telephonic E/M Services for Influenza

In response to the higher than normal number of influenza cases and influenza-related complications and deaths, the North Carolina Division of Medical Assistance (DMA) is offering telephonic evaluation and management services (E/M) to beneficiaries who are actively experiencing flu-like symptoms. The purpose of this service is to assist primary care providers assessing established patients over […]

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Learn How to Thrive in Medicaid Managed-Care at NCAFP Winter Meeting

The NCAFP is excited to announce a town hall discussion on Medicaid Managed-Care as part of its 2017 Winter Family Physicians Weekend in Asheville. Titled ‘Surviving and Thriving in Medicaid Managed Care: Practical Tips for North Carolina Medicaid’s Transformation,’ the discussion is taking place on Saturday morning, Dec. 2nd, and will be moderated by NC Spins’ […]

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Prior Approval Begins for Opioid Doses for Medicaid and Health Choice

On Sunday (8/27/17), prior authorization will now be required for opioid analgesic doses for N.C. Medicaid and N.C. Health Choice (NCHC) beneficiaries. This new requirement covers those doses which exceed 120 mg of morphine equivalents per day, are greater than a 14-day supply of any opioid, or are non-preferred opioid products on the NC Medicaid Preferred […]

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NC DHHS Begins New Round of Medicaid Hearings

The NC Department of Health and Human Services (DHHS) has begun a new round of public input sessions on the State’s Medicaid Managed Care Reform Plan. Four sessions are planned for across the state over the next week, with the first one held this past Monday in Greensboro. The NCAFP had several key leaders share […]

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DHHS Expands Medicaid Coverage Policy to Include Blood Testing for Allergies

The NC Department of Health and Human Services (DHHS) recently expanded its coverage policy on allergy blood testing for the Medicaid population. The updated policy streamlines its allergen testing policies, specifically, ‘to cover “specific IgE in vitro tests for inhalant allergens (pollens, molds, dust mites, and animal dander), foods, insect stings, and drugs.”

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