Topics Related to Health Benefits (NC Medicaid)

MCT 103 - Value Based Payments and Quality Measurement in Medicaid Managed Care, NC Medicaid Managed Care 103

April 25, 2019, 4pm - 5pm
Training designed for NC Medicaid Providers.

MCT 102 - Provider Payment and Contracts, NC Medicaid Managed Care 102

April 11, 2019, 4pm - 5pm
Training designed for NC Medicaid Providers.

This webinar will help providers understand what and how they will be paid under managed care contracting arrangements. It will give providers an understanding of changes in financing and implications for their net revenue, what information they need to submit to be paid, protections implemented by the State (such as rate floors) and “any willing provider” requirements.

MCT 101 - Provider Transition to NC Medicaid Managed Care 101

March 28, 2019, 4pm
Training designed for NC Medicaid Providers.

A high-level overview for providers of the transition to NC Medicaid Managed Care. The webinar covers the vision and context of North Carolina's transformation to a managed care system, provides a close look at managed care key initiatives, and highlights opportunities for providers to be part of the process.

Preferred Drug List Review Panel

May 22, 2019, 2pm
The Medicaid and Health Choice Preferred Drug List (PDL) Review Panel was established by DHHS to conduct open meetings to discuss recommended policies and procedures related to the PDL and to address the public comments that were received during the PDL comment period. The administration and review of the North Carolina Medicaid and Health Choice PDL follows the Preferred Drug List Review Panel Guidelines and Procedures.

DHHS Announces Prepaid Health Plan Contracts for Medicaid Managed Care

Today, the North Carolina Department of Health and Human Services announced the selection of Prepaid Health Plans that will participate in Medicaid managed care when the program launches in November 2019. Contracts were awarded after careful evaluation of all responses to the Request for Proposal issued by DHHS on Aug. 9, 2018.

AMH 105 Webinar - AMH Tier 3: Patient Identification and Assessment

November 14, 2018, 8pm
Training is designed for Primary Care Providers interested in becoming Advanced Medical Homes in NC Medicaid Managed Care.

North Carolina Receives 1115 Waiver Approval, a Major Milestone for Medicaid and NC Health Care System

North Carolina today received federal approval to implement the transition to Medicaid managed care and integrate physical health, behavioral health and pharmacy benefits. Receiving approval from the Centers for Medicare; Medicaid Services (CMS) of the amended 1115 Demonstration Waiver application submitted by the North Carolina Department of Health and Human Services in 2017 is a major milestone in implementing North Carolina's Medicaid Transformation and in moving the state's health care system toward further integration and coordination.

AMH 104 Webinar - Roles and Responsibilities of Clinically Integrated Networks and Other Partners

November 1, 2018, 3:30pm
AMH 104 Webinar - Roles and Responsibilities of Clinically Integrated Networks and Other Partners

Training is designed for Primary Care Providers interested in becoming Advanced Medical Homes in NC Medicaid Managed Care.

AMH 103 Webinar - Accountability: Certification, Contracting and Oversight

October 12, 2018, 6:30pm
AMH 103 Webinar - Accountability: Certification, Contracting and Oversight

Training is designed for Primary Care Providers interested in becoming Advanced Medical Homes in NC Medicaid Managed Care.

DHHS Provides More Ways to Avoid Disruption of NC Medicaid Services During Hurricane Florence Recovery

Today, the North Carolina Department of Health and Human Services announced additional flexibilities to expand its efforts to ensure Medicaid and NC Health Choice services can be quickly delivered to those impacted by Hurricane Florence. These new flexibilities will help people in Medicaid receive care without disruption and give health care providers leeway to deliver services with fewer limits.