NC’s Transition to Medicaid Managed Care: The Crossover Communication Series

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.

As part of its broader efforts to prepare providers for NC Medicaid Managed Care, in August 2019 NC Medicaid launched a time-limited, time-sensitive informational series, NC’s Transition to Medicaid Managed Care: The Crossover Communication Series. Through this series, NC Medicaid provides guidance and resources to assist providers in ensuring beneficiary service continuity during the crossover period.

This crossover communication series will supplement current education activity and direct readers to existing resources, as appropriate.

Featured this Month: Online Resources to Assist through Crossover

In September 2019, NC Medicaid will launch Crossover guidance on the NC Medicaid Transformation Provider Resource Page:  https://medicaid.ncdhhs.gov/providers

Resources to be provided:

• Guidance for identifying members’ managed care status
• Guidance for submitting a prior authorization during crossover
• Overview of additional member safeguards during crossover
• Contacting the PHPs
• Reporting issues
• Additional information

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