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  5. Money Follows the Person
  6. MFP Resources for Providers

MFP Resources for Providers

 

Transition Materials

Transition Coordination Tools

  • 2019 Medicaid LTSS Quick Guide
  • DD Centers and MCOs Transition Planning Responsibilities
  • MFP Support Options and Risk Planning
  • CAP-DA Service Request and Physicians Attestation Form
    • SRF 2017
  • MFP Transition Plan
  • MFP Final Checklist
  • MFP Pre-Transition Withdrawal Recommendation Form
  • MFP Post-Transition Withdrawal Recommendation Form
  • MCO MFP Beneficiary Transfer Process

Project Guidelines and Grant Details

The Operational Protocol of the NC Money Follows the Person Demonstration Project (“NC MFP” or “The Project”) outlines the Project’s practices and framework. 

  • Current MFP Operational Protocol
  • Notice of project extension from CMS
  • DME memorandum of continued commitment

Additional Payment Request Forms for CAP/DA Lead Agencies

  • MFP Transition Coordination Services (formerly T2038SE) Billing Guide Administration Payment
  • MFP Transition Coordination Services (formerly T2038SE) Payment Request Final Checklist
  • MFP Pre-transition Case Management Workaround Request Letter - PUT ON LEAD AGENCY LETTERHEAD

MFP Startup Funds (TYSR/SCCB) Request Forms

  • TYSR (formerly T2038TS) Billing Guide Administration Payment
  • TYSR (formerly T2038TS) Administrative Payment Request Letter
  • MCO SCCB Funding Guide
  • MCO SCCB Payment Request Letter

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Contact Information

NC Medicaid
Division of Health Benefits

2501 Mail Service Center
Raleigh, NC 27699-2501
 
NC Medicaid Contact Center
Phone: 888-245-0179
Monday-Friday 8 a.m. to 5 p.m.
Closed on State holidays. 
 
Visit RelayNC for information about TTY services. 
 
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