Author: NC Medicaid, Care and Quality
Supporting beneficiaries in their transition between the current fee-for-service delivery system and NC Medicaid Managed Care is called transition of care. The transitional period surrounding the launch of Medicaid Managed Care is referenced as crossover.
DHHS will initiate crossover-specific activities in August 2019 and will continue these activities through April 2020. These activities are designed to safeguard continuity of care for beneficiaries. These activities include:
- Crossover-specific communication and education to providers, beneficiaries and other stakeholders.
- Time-limited data transfer to ensure Prepaid Health Plans (PHPs) have claims history, prior authorization data and other information necessary to effectively support enrolled beneficiaries.
- Implementing additional safeguards for high need beneficiaries.
- Crossover-specific monitoring of the beneficiary and provider transition experience.
Upcoming Opportunities to Learn About Crossover-related Activities and Processes
For more information about upcoming and previous webinars, visit: https://medicaid.ncdhhs.gov/nc-medicaid-managed-care-training-courses