Tailored Care Management Updates – Sept. 28, 2022

Certified Tailored Care Management Providers Completed Readiness and Application Period Open for Round 3 Tailored Care Management Certification.

Certified Tailored Care Management Providers Completed Readiness

Certified Care Management Agencies (CMAs) and Advanced Medical Home + (AMH+) providers from rounds one and two of the certification process have completed their readiness review and will begin providing Tailored Care Management on Dec. 1, 2022, are listed here. The list will be updated as additional providers complete readiness and is found on the NC Medicaid Tailored Care Management webpage.

Reminder: Application Period Open for Round 3 Tailored Care Management Certification

The Round 3 process for Tailored Care Management (TCM) Certification is now open. 

  • To assist providers in understanding the process and requirements, the Department will host a webinar Thursday, Sept. 29, 2022, at 3:30 p.m. to provide more information and respond to providers’ questions. 
  • Please register on the Mountain Area Health Education Center (MAHEC) website.

The certification process will be conducted by the State’s certification vendor, the National Committee for Quality Assurance (NCQA), using the State’s Tailored Care Management model requirements. 

  1. To participate, providers must complete the TCM Statement of Intent to Participate to receive a log-on to the application portal. The TCM Statement of Intent is an online form and will be available until Nov. 10, 2022
  2. The Round 3 application will be available online from Nov. 15, 2022, until Dec. 31, 2022. The deadline for submitting applications and associated documents is Dec. 31, 2022.

For more information, please see Medicaid bulletin Application Period Open for Round 3 Tailored Care Management Certification.

Contact

NC Medicaid Contact Center, 888-245-0179

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