Topics Related to Medicaid Managed Care

WellCare broker update, contracting with transportation brokers, emergent care reminder
Capacity building FAQs, guidance on the use of extenders, standard terms and conditions, and Provider Manual updates.
CMS PERM audit educational provider webinar to be held in April 2022
NC Medicaid has released an updated series of provider enrollment training videos, which are required components of the provider enrollment process.
Desk reviews of round two AMH+ practices/ CMAs provider applications are completed and 32 providers advanced to the site review stage.
Provider manual updated, guidance on the use of extenders, updated rate guidance and webinar series FAQs.
Upcoming Key Milestones, Playbook Updates, COVID-19 Vaccine Incentive Program, Provider Authorizations, Provider Ombudsman and more.
Tobacco-related policy requirements go into effect on Dec. 1, 2022.
Under NC Medicaid Managed Care, the nursing facility level of care is approved by the Medicaid beneficiary’s assigned PHP.
The following guidance applies to AMH Tier 3 practices not participating in the NC Integrated Care for Kids (InCK) pilot project.