This document provides guidance on what capacity building funds can be used for as well as the timeframes for use of the funds.
Topics Related to Behavioral Health Providers
Milestones, playbook updates, beneficiary assignment file, provider reverification, provider records, provider ombudsman, help center and webinars.
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
Adds Behavioral Health and Social Service Providers
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.