NC Medicaid Managed Care Training Courses

MCT 106: Behavioral Health Services: Standard Plans and Transition Period

Thursday, May 23, 2019 – noon-1p.m.
Providers can expect to receive a high degree of clarification and information related to behavioral health billing transition, including: services transitioning to Standard Plans; those services that will continue to be billed to LME-MCOs; and transition timing for Tailored Plans. In addition, providers will receive guidance on contracting with Standard Plans as well as how to avoid process issues that prevent beneficiaries enrolled in Standard Plans from accessing necessary services (especially crisis services) only covered under future Tailored Plans.
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MCT 107: Contracting with AMH Practices

Thursday, May 30, 2019 - noon-1p.m.
This webinar provides contracting guidance and reminders to Advanced Medical Home (AMH) Tier 3 practices as they consider provider network participation with PHPs. Established DHHS contracting guardrails are reviewed with AMH Tier 3 practices, including payment, and standard terms and conditions. Clarification will be provided on expectations for practices that attested to Tier 3 and options available to ensure that they can meet the content of the attestations in anticipation of Medicaid Managed Care go-live (November, 2019). The webinar also reviews timeliness for contracting. Time will be alloted for questions and answers.
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Previous Training

MCT 101 - Provider Transition to NC Medicaid Managed Care 101

MCT 101 - Provider Transition to NC Medicaid Managed Care 101

A high-level overview for providers of the transition to NC Medicaid Managed Care. The webinar covers the vision and context of North Carolina's transformation to a managed care system, provides a close look at managed care key initiatives, and highlights opportunities for providers to be part of the process.

MCT 102 - Provider Payment and Contracts, NC Medicaid Managed Care 102

MCT 102 - Provider Payment and Contracts, NC Medicaid Managed Care 102

This webinar helps providers understand what and how they will be paid under managed care contracting arrangements. It gives providers an understanding of changes in financing and implications for their net revenue, what information they need to submit to be paid, protections implemented by the State (such as rate floors) and “any willing provider” requirements.

MCT 103 - Value Based Payments and Quality Measurement in Medicaid Managed Care, NC Medicaid Managed Care 103

MCT 103 - Value Based Payments and Quality Measurement in Medicaid Managed Care, NC Medicaid Managed Care 103

This webinar serves as the initial guidance on Value Based Payments (VBP), focusing on early standards that the NC DHHS is using to assess VBP as well as plans for measurement of quality within NC Medicaid Managed Care.

MCT 104 - Provider Policies, NC Medicaid Managed Care 104

MCT 104 - Provider Policies, NC Medicaid Managed Care 104

This webinar facilitates understanding of NC Medicaid Managed Care requirements, expectations and implications specific to credentialing, network adequacy, appeals and provider ombudsman processes.

MCT 105 - Beneficiary Policies, NC Medicaid Managed Care 105

MCT 105 - Beneficiary Policies, NC Medicaid Managed Care 105

This webinar provides participants with an overview of key policies affecting beneficiaries who will be enrolling in Medicaid Managed Care. The materials cover beneficiary-related topics that have an impact on providers such as: 1) beneficiary eligibility and enrollment, 2) PCP selection, 3) beneficiary supports, 4) grievances & appeals, 5) and how to address the social needs of patients.

A recording of the webinar, including a summary of questions and answers shared during the session, will be posted to the Medicaid website when available.

 

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