The $20 PMPM Medical Home Payments for AMHs serving members eligible for Tailored Care Management will begin in December.
Topics Related to Behavioral Health Providers
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.
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
Updates on Tailored Plan criteria review, eligibility criteria, enrollment and health care options, and resources for Beneficiaries and Providers.
Provider manual update, guidance on position qualifications, phased assignment approach for Tailored Care Management providers and more.