Topics Related to Behavioral Health Providers
Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries
Includes provider recredentialing/reverification, Medicaid expansion, Tailored Plan implementation and more.
Includes flexibilities related to Tailored Plans and Healthy Opportunities Pilots
Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.
Updates include updated policies on Acuity Tiers, Acuity-Based Contacts and Contact Monitoring.
The North Carolina Department of Health and Human Services recently awarded Acentra Health the contract as the Comprehensive Independent Assessment Entity (CIAE) for NC Medicaid. Acentra Health will provide management and oversight for the Preadmission Screening Resident Review (PASRR) Level II process and will also serve as the Local Contact Agency (LCA), responsible for providing interested Nursing Facility (NF) residents with options for transitioning from institutional care to community-based living.
A draft application for § 1915 (c) NC Innovation Waiver is posted for a 30-day public comment period.
Beneficiaries who will be covered by the Tailored Plans will continue to receive care as they do today.
Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.
Fact sheets covering Provider payment, reimbursement, claims submissions and prior authorization have been recently published on the NC Medicaid website.