NC HealthConnex, State Designated Health Information Exchange, Connection Required by June 1, 2018, for Medicaid Hospitals, Physicians and Mid-Level Practitioners; Extension Process Available (May 2018)

<p>Per Session Law (S.L.) 2015-241, as of June 1, 2018, hospitals, mid-level physicians and nurse practitioners who currently have an electronic health record system&nbsp;must be connected to NC HealthConnex to continue to receive payments for Medicaid and NCHC services.</p>

Author: Provider Services

Per Session Law (S.L.) 2015-241, as of June 1, 2018, hospitals, mid-level physicians and nurse practitioners who currently have an electronic health record system must be connected to NC HealthConnex to continue to receive payments for Medicaid and NCHC services. All other Medicaid and state-funded providers must be connected by June 1, 2019, including the State Health Plan, (North Carolina Blue Cross Blue Shield State Health Plan), Program for All Inclusive Care of the Elderly (PACE) and state grants.

NC HealthConnex links disparate systems and existing North Carolina HIE networks together to deliver a holistic view of a patient’s record. It currently houses 4.8 million unique patient records, allowing providers to access their patients’ comprehensive records across multiple providers, and review consolidated lists of items including labs, diagnoses, allergies and medications.

The NC Health Information Exchange Authority (HIEA), the N.C. Department of Information Technology agency that manages NC HealthConnex, hosts “How to Connect” webinars the last Monday of each month at noon to educate providers affected by this law, describe the technical and onboarding requirements, and answer questions about the Participation Agreement that governs the data connection. In the meantime, providers can learn more at nchealthconnex.gov/how-connect.

To register for the next webinar at noon on Monday, May 28, 2018, and to learn more about NC HealthConnex, visit nchealthconnex.gov.

Alternatively, the NC Health Information Exchange Authority (NC HIEA), in collaboration with the N.C. Department of Health and Human Services, developed a process that allows health care providers to request extensions to complete their connection to NC HealthConnex. To request a connection extension, providers must:

  1. Sign an NC HIEA Participation Agreement; and
  2. Demonstrate how their organization plans to connect to NC HealthConnex within one calendar year.

If the provider organization meets these criteria, complete a form located at nchealthconnex.gov/providers/extension-process.

Note: This process is not a request for a waiver or exemption from the state’s requirements, but an extension of time to meet the state’s requirements.

More than1,100 facilities are currently live on NC HealthConnex with another 2,800 in onboarding. For a list of who is connected, visit nchealthconnex.gov

Providers with questions can contact the NC HIEA staff at 919-754-6912 or hiea@nc.gov.

Provider Services
DMA, 919-855-4050

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