Topics Related to Medicaid Managed Care
Key milestones, playbook updates, beneficiary eligibility, reverification, provider records, provider ombudsman, help center and webinars.
Form for nursing facilities and health plans to communicate with DSS
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.
Providers should contact the PHPs and Provider Ombudsman to resolve issues.
Key milestones, playbook updates, verifying eligibility, provider reverification, provider records, behavioral health services transition and more
Attention Standard Plans/Tailored Plans/HHA Exchange/CareBridge and Healthy Blue
What services are available, in which regions, and how providers can refer patients.