TREC ARP Technical Sessions: July 13, 15, & 20

The Governor's Task Force for Racial Equity in Criminal Justice and the North Carolina Association of County commissioners are hosting a series of three sessions in July to provide information about three funding ...

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NC Medicaid 2021 Provider Playbook (6/30/2021)

Fact Sheet | What Providers Need to Know: Part 2 – After Managed Care Launch

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NC Medicaid Managed Care: What Beneficiaries Need to Know on Day One (6/30/2021)

Starting July 1, nearly 1.6 million Medicaid beneficiaries in North Carolina will begin receiving the same Medicaid services in a new way through NC Medicaid Managed Care health plans (see the view news

NC Medicaid Managed Care: Day One Provider Quick Reference Guide (6/30/2021)

Get quick information providers may need on 7/1/2021 including verification of eligibility and plan, provider portal / provider services, prior authorizations, claims, non-emergency medical transportation & non-emergency ambulance ...

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Data on Medicaid and NC Health Choice Beneficiary Eligibility for Behavioral Health I/DD Tailored Plans and Tailored Care Management (5/25/2021)

In response to stakeholder requests and feedback, the Department of Health and Human Services (the Department) is releasing data on the number of Medicaid and NC Health Choice beneficiaries, as of April 2021, who currently meet the eligibility ...

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Medicaid Open Enrollment Wraps Up for Standard Plan – What Now? (5/18/2021)

Open enrollment for a Medicaid Managed Care began March 15 and ended May 14th, giving Medicaid recipients two months to choose the Pre-Paid Health Plan (PHP) they want as their insurance program under new Medicaid ...

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Numerous Bills Could Positively Impact Services (5/18/2021)

We are five months into the Long Session of the NC General Assembly (NCGA). Usually that means that we have already seen a budget proposal, but not this year. There have been many, many new bills introduced, so many of which could affect ...

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NCDHHS Extends Open Enrollment for Medicaid Managed Care through May 21 (5/18/2021)

The North Carolina Department of Health and Human Services is extending open enrollment for NC Medicaid Managed ...

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North Carolina Olmstead Plan and TCLI, Strengthening a Community-Based System (5/18/2021)

Looking at the North Carolina health and human services public system from the 50,000-foot level will show that there is tremendous movement toward innovation and strengthening of the community-based service system. 

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CMS Issues Guidance on American Rescue Plan Funding for Medicaid Home and Community Based Services (5/13/2021)

Guidance Helps States Access Additional Federal Funds for Critical Services Supporting Older Adults and Individuals with Disabilities

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Fact Sheet: NC Medicaid Managed Care (5/1/2021)

The North Carolina Department of Health and Human Services recently released a fact sheet to help people in NC Medicaid understand whether they need to choose a health plan.

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American Rescue Plan Includes HCBS Funding (3/23/2021)

The United States Congress passed HR 1319, The American Rescue Plan Act of 2021, which includes funding for home and community based services.

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Foster Care Specialty Plan Postponed (3/23/2021)

Based on feedback already received, NC DHHS has postponed the Foster Care Specialty Plan (FC Plan) implementation from July 1, 2022 until July 1, 2023. The Department will establish a Foster Care Plan Workgroup that will support the development ...

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Community Inclusion Addendum Added to Tailored Care Management Provider Manual (3/19/2021)

NC DHHS has published an addendum to the Tailored Care Management Provider Manual around Community Inclusion and specifically in-reach and transition services.

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Medicaid Transformation Begins as Open Enrollment Goes Live (3/15/2021)

DHHS has sent out enrollment packets to Medicaid beneficiaries eligible for the Standard Plan and open enrollment began on March 15th

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NC General Assembly Allocates New COVID-19 Funding (3/11/2021)

SL 2021-3: 2021 COVID-19 Response and Relief was signed into law by the Governor, allocating federal COVID-19 funding and appropriate additional funding to address the pandemic in communities. 

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Medicaid Managed Care Consumer Rights Information (2/26/2021)

A free webinar will be held Friday, March 19, 12:00-1:30 PM for health care advocates and other interested parties about NC Medicaid’s Move to Managed Care.

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Transition of Care Policy (2/25/2021)

NC DHHS published the Transition of Care policy which covers the responsibilities of the Prepaid Health Plans (PHPs) in these circumstances:

  • when a Medicaid beneficiary disenrolls from a PHP Standard Plan, which could be because the ...

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Medicaid Managed Care Provider Update (2/05/2021)

The NC DHHS created a new Medicaid Managed Care Provider Page with important information for Providers as we transition to the Standard Plan between now and July 1.

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Legislature Begins the Long Session (2/2/2021)

The NC General Assembly officially convened on January 13th and used the first two weeks of the long session to select committee members and appoint chairs.

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Governor's Council Recommends Expanding Access to Health Care Coverage (2/2/2021)

 The NC Council for Health Care Coverage was a bipartisan, diverse group of legislative, business and State government ...

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NCDHHS Awards Contract for Medicaid Managed Care Ombudsman Services (1/20/2021)

The North Carolina Department of Health and Human Services announced that Legal Aid of North Carolina (Legal Aid) will provide Medicaid Managed Care Ombudsman services for the state’s Medicaid beneficiaries.

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COVID Vaccine Update and Joint NC DMHDDSAS and DHB COVID 19 Update for NC Providers (01/07/2021)

A tested, safe and effective vaccine will be available to all who want it, but supplies are currently limited and will continue to be for the next few months. To save lives and slow the spread of COVID-19, independent state and federal public ...

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NCDHHS Issues Secretarial Directive with Immediate Actions to Protect North Carolinians (01/06/2021)

The North Carolina Department of Health and Human Services today issued a Secretarial ...

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Food and Nutrition Services Recipients to Receive Temporary 15% Increase in Benefits (01/05/2021)

The North Carolina Department of Health and Human Services announced that Food and Nutrition Services recipients will see a temporary increase in the amount of benefits they receive. This increase is part of the federal Emergency Coronavirus ...

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NC Task Force for Racial Equity in Crimincal Justice: 2020 Report (01/01/2021)

The Task Force was established by Governor Roy Cooper in June 2020 to “focus on addressing existing policies and procedures that disproportionately affect communities of color and ...

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RFA For BH/IDD Tailored Plan – What You Need To Know (12/16/2020)

A key indicator that Medicaid Transformation is back is the recent publication of the Request for Application (RFA) for the BH/IDD Tailored Plan. The Tailored Plan is scheduled to go-live on July 1, 2022, one year after the Standard Plan is ...

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Medicaid Transformation Timelines Set (12/16/2020)

Get a breakdown of the current Medicaid Managed Care Implementation timeline.

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Medicaid Expansion Discussed at Governor's Council (12/16/2020)

Governor Cooper established the NC Council for Health Care Coverage. The first meeting of this bipartisan group was held on December 4th.

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North Carolina Equity Task Force Recommends Medicaid Expansion to Address Racial Disparities (12/02/2020)

A North Carolina equity task force is calling for Medicaid expansion as one of many recommendations to help address health disparities among African American and Hispanic residents.

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MediSked Joins The North Carolina-Based Provider Association As An Associate Member (11/20/2020)

As an associate member, MediSked will support the experts who provide quality services for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) in North Carolina. 

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NC Medicaid Issues Request for Applications for Medicaid Managed Care Behavioral Health and I/DD Tailored Plans (11/13/2020)

The North Carolina Department of Health and Human Services issued a Request for Applications for Behavioral Health and Intellectual/Developmental Disability (I/DD) Tailored Plans as part of North Carolina’s transition to Medicaid Managed ...

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NC Medicaid Launches Website for Beneficiaries to Learn More About Medicaid Managed Care (11/06/2020)

The North Carolina Department of Health and Human Services today announced the launch of NC Medicaid’s managed care enrollment website,  view news

NC Medicaid Extends Support to Providers to Help Maintain Access to Services During COVID-19 (10/21/2020)

The North Carolina Department of Health and Human Services Division of Health Benefits (NC Medicaid) is extending temporary provider rate increases related to COVID-19 through the end of the federal COVID-19 public health emergency, which ...

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Medicaid Transformation Prep Ramping Up (10/07/2020)

Opportunities are being made available to stakeholders to prepare for the implementation of the Medicaid Standard Plan and Tribal Option.  Both plans are scheduled to go-live on July 1, 2021. 

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MediSked Partners with Benchmarks of North Carolina (10/07/2020)

Furthering its dedication to providing person-centered software solutions in North Carolina, MediSked has signed a corporate partnership agreement with view news --> view news

Gillings to lead evaluation of NC’s Medicaid transformation (10/06/2020)

Faculty at the UNC Gillings School of Global Public Health have entered into a $2.5 million contract for the current year with the North Carolina Department of Health and Human Services. The School will serve as the official evaluation ...

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Trump Administration Announces $20 Billion in New Phase 3 Provider Relief Funding (10/01/2020)

Under this Phase 3 General Distribution allocation, providers that have already received Provider Relief Fund payments will be invited to apply for additional funding that considers financial losses and changes in operating expenses caused ...

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NC DHHS Secretarial Order 6 (09/28/2020)

The Secretary is now allowing for limited indoor visitation in long-term care facilities with 7 or more beds.

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EXECUTIVE ORDER NO. 165 - EXTENDING CERTAIN HEAL TH AND HUMAN SERVICES PROVISIONS IN PREVIOUS EXECUTIVE ORDERS AND DELEGATION OF AUTHORITY (09/21/2020)

 Governor Cooper has signed Executive Order 165 to provide NC DHHS the authority to decide the appropriate restrictions on the activities and operations in long-term care facilities.  The Executive Order ...

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CMS Issues New Roadmap for States to Accelerate Adoption of Value-Based Care to Improve Quality of Care for Medicaid Beneficiaries (09/15/2020)

The Centers for Medicare & Medicaid Services (CMS) issued guidance to state Medicaid directors designed to advance the adoption of value-based care strategies across their healthcare systems and align provider incentives across ...

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Case Study: The Arc of North Carolina - Finding Efficiencies and Quality Reporting Made Easy (09/11/2020)

Learn how Liz Boltz, Arc of NC MediSked Administrator, has maximized the capabilities of MediSked Connect to deliver high-quality reports and improve efficiency for her agency.

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We're presenting at the i2i Virtual Pinehurst Conference! (09/08/2020)

Come to our Presentation on December 2nd from 3-4pm ET!

Level Up: Using Data to Improve Social Determinants of Health Before, During, And After COVID-19

Social determinants of health (SDoH) are ...

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We'll be at the AHHC of NC Virtual Conference (09/04/2020)

We’ll be at the Association for Home & Hospice Care of North Carolina Virtual Conference! We hope to “see” you there, so make sure to drop by our virtual exhibit booth. More ...

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Proposed Medicaid and NC Health Choice Policies (08/18/2020)

NC DHHS is proposing new/amended Medicaid and NC Health Choice clinical coverage policies and is seeking comments on the proposed policies.

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NC Medicaid Will Reimburse Providers for COVID-19 Testing for Uninsured North Carolinians (08/17/2020)

Effective Sept. 1, 2020, NC Medicaid will begin reimbursing COVID-19 testing costs for uninsured individuals enrolled in the NC Medicaid Optional COVID-19 Testing (MCV) ...

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NC Organizations Fighting the Rural Opioid Crisis Receive Federal Boost (08/14/2020)

Four agencies will tackle the opioid crisis in rural North Carolina with $1 million grants from the federal Department of Health and Human Services.

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United Health Foundation Donates $1,250,000 to ECU to Support Maternal Health Needs of North Carolina Amid COVID-19 Pandemic (08/13/2020)

The United Health Foundation has donated $1,250,000 to East Carolina University’s Brody School of Medicine to expand access to health care and improve health outcomes for North Carolina’s mothers and ...

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Medicaid Managed Care Implementation Update (08/11/2020)

The Joint Legislative Oversight Committee on Medicaid and Health Choice released updates on Medicaid managed care implementation from NC DHHS leaders Dave Richard, Deputy Secretary for NC Medicaid and Jay Ludlam, Assistant Secretary for ...

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HHS Extends Application Deadline for Medicaid Providers (07/31/2020)

U.S. Department of Health & Human Services

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Upcoming NCDHHS COVID-19 Community Testing Events Scheduled; Testing is Free (07/27/2020)

The North Carolina Department of Health and Human Services (NCDHHS) has 39 upcoming community testing events scheduled in Bladen, Duplin, Johnston, Edgecombe, Henderson, Hertford, Northampton, Randolph, Robeson, Sampson and Warren counties as ...

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Medicaid Transformation Ramping Up (07/14/20)

i2i Center for Integrative Health

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Fact Sheet: SAMHSA 42 CFR Part 2 Revised Rule (07/13/2020)

The 42 CFR Part 2 regulations (Part 2) serve to protect patient records created by federally assisted programs for the treatment of substance use disorders (SUD). Part 2 has been revised to ...

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