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Supporting Provider Transition to Medicaid Managed Care

Medicaid Transformation held a series of webcasts to stakeholders regarding the transition of North Carolina Medicaid and NC Health Choice programs to a managed care model. The Supporting Provider Transition to Medicaid Managed Care webcast series shared a high level overview of what providers may expect as North Carolina Medicaid and NC Health Choice programs transition from a predominantly fee-for-service delivery system to managed care. Some topics mentioned in this webcast are covered in more detail in other policy papers in the series. 

The webcast offered information and supportive guidance to providers on: 

  • Overall Medicaid managed care program design
  • Provider enrollment and credentialing
  • Contracting with health plans
  • Meeting Advanced Medical Home (AMH) requirements with and without clinical integrated network (CIN) support

Materials

For more detailed information on this webcast content, please see the policy paper of the same name at https://files.nc.gov/ncdhhs/documents/ProviderTransition_PolicyPaper_FIN....  

Additional information on Medicaid transformation can be found on the North Carolina Department of Health and Human Services website https://www.ncdhhs.gov/medicaid-transformation. Comments are welcome and encouraged by sending an email to Medicaid.Transformation@dhhs.nc.gov.