Topics Related to Behavioral Health Providers

Additional criteria has been added to identify beneficiaries as eligible for Behavioral Health I/DD Tailored Plans. 

The Tailored Care Management certification process is now open, and providers may submit applications.

NC Medicaid’s Electronic Visit Verification (EVV) system will launch on Jan. 1, 2021, for State Plan Personal Care Services, CAP/DA and CAP/C. During the first 90 days following launch, we will operate EVV as “Pay and Report.” EVV implementation for TBI waiver and LME-MCO services programs is planned for April 2, 2021.

Provider webinars in December include Advanced Medical Home on December 10, COVID-19 Vaccine Distribution on December 15, and Behavioral Health on December 17.

Amended policies will post to the NC Medicaid Clinical Coverage Policies website with an effective date of Oct. 1, 2020. 

NC Medicaid has received federal approval of additional flexibilities during the COVID-19 pandemic for the NC Innovations Waiver, for individuals with intellectual and developmental disabilities (IDD).

A memo regarding North Carolina’s Design for State-Funded Services Under Behavioral Health and Intellectual/Developmental Disability Tailored Plans white paper has been released.

On July 15, 2020, the Substance Abuse and Mental Health Services Administration (SAMHSA) finalized modifications to the Confidentiality of Substance Use Disorder Patient Records regulations, 42 CFR Part 2 (“Part 2”). Modifications to Part 2 will be effective Aug. 14, 2020.

NC Medicaid, in partnership with the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMHDDSAS), is offering the following guidance to providers, instructors, and staff regarding restrictive interventions and CPR/First Aid.

NC Medicaid has received federal approval of additional flexibilities during the COVID-19 pandemic for the NC Innovations and NC Traumatic Brain Injury waivers.