Fact Sheets

Fact Sheet What Providers Need to Know – After Managed Care Launch

Medicaid Transformation

Introduction to Medicaid Transformation: Part 1 – Overview - June 14, 2021
Introduction to Medicaid Transformation: Part 2 – Enrollment and Timelines - June 14, 2021
What Providers Need to Know: Part 1 – Before Managed Care Launch - Oct. 4, 2021
What Providers Need to Know: Part 2 – After Managed Care Launch - Oct. 4, 2021

Tailored Plan Provider Contracting Deadlines Questions and Answers - June 1, 2022
Contracting with Tailored Plans - Aug. 11, 2022

What is Auto-Enrollment and How Does it Work? - May 25, 2021 - English | Spanish
Managed Care Populations (Do I Need to Choose a Health Plan?) - April 29, 2021 - English | Spanish
Member Enrollment Part 1 - Health Plan Auto-Enrollment - Oct. 4, 2021
Member Enrollment: Part 2 - Primary Care Provider (PCP)/Advanced Medical Home (AMH) Auto-Assignment - Oct. 4, 2021
Auto Enrollment Scenarios Presentation - Dec. 30, 2020

Medicaid and NC Health Choice Provider and Health Plan Lookup Tool - June 24, 2022
For more information on the Enrollment Broker notices and beneficiary materials, visit the Beneficiary Materials page.

For facts sheets regarding Non-Emergency Medical Transportation (NEMT), please see the NEMT page on the County Playbook

Pharmacy Point of Sale for Tailored Plan Launch - Aug. 5, 2022
Provider Postpartum - March 21, 2022
Children and Youth Transitioning to Foster Care for Providers - Jan. 3, 2022
What Providers Need to Know About Pharmacy - Oct. 28, 2021
Managed Care Claims and Prior Authorization Submission: Frequently Asked Questions - Part 2 - Sept. 9, 2021
Managed Care Claims and Prior Authorization Submission: What Providers Need to Know - Part 1 - July 9, 2021
Panel Management - Sept. 14, 2022
Prompt Payment - March 31, 2021
Managed Care PCP/AMH Provider Payment Matrix - June 14, 2021
Health Equity Enhanced Payment Initiative - March 31, 2021
Overview of Provider Directory Data Flow - March 18, 2021
Managed Care Eligibility for Newborns: What Providers Need to Know - June 14, 2021
Protections for Pregnant Women and Newborns - June 29, 2021
Telehealth Program - June 14, 2021
Transition of Care for beneficiaries receiving long-term services and supports - Oct. 4, 2021
Advanced Medical Home - Oct. 4, 2021

AHEC Practice Support

For more information on AHEC practice support including the Back Porch Series, visit the AHEC Practice Support page.

Additional Resources

For additional health plan resources and contact information, visit the Health Plan Contacts and Resources page.
For additional health plan training opportunities, visit the Provider Playbook: Training Courses page.

Carolina Complete Health
https://network.carolinacompletehealth.com/resources/manuals-and-forms.html

This page was last modified on 09/14/2022