Topics Related to Behavioral Health Providers

Last days for providers to have fully executed contracts with Tailored Plans to be included in the beneficiary choice period and auto-assignment.

A multidisciplinary care team will provide whole-person care management that addresses all of a beneficiary’s needs

The $20 PMPM Medical Home Payments for AMHs serving members eligible for Tailored Care Management will begin in December.

Temporary flexibilities and changes run from Dec. 1, 2022, to March 31, 2023.

Claims submitted with missing or invalid billing, rendering, and/or attending provider taxonomy codes is a top reason for claim denials

NCDHHS delays the implementation of Tailored Plans until April 1, 2023. Specific new services will still go live Dec. 1, 2022.

Certified Tailored Care Management Providers Completed Readiness and Application Period Open for Round 3 Tailored Care Management Certification.

Join DHHS Sept. 29, 2022, at 3:30 p.m. for more information. Statement of intent due Nov. 10, 2022.

Key milestones, playbook updates, verifying eligibility, provider reverification, provider records, behavioral health services transition and more