Fact Sheets Fact Sheet What Providers Need to Know – After Managed Care Launch Day One Provider Quick Reference Guide Department Fact Sheets Medicaid Transformation Introduction to Medicaid Transformation: Part 1 – Overview - June 14, 2021 Introduction to Medicaid Transformation: Part 2 – Enrollment and Timelines - June 14, 2021 Eastern Band of Cherokee Indians (EBCI) Tribal Option Overview - Oct. 4, 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 What Providers Need to Know: Part 3 – Before Tailored Plan Launch - Jan. 3, 2022 Contracting Contracting with Health Plans - Jan. 4, 2021 For more information, visit the Provider Contracting with Health Plans page. Member Enrollment Request to Move to NC Medicaid Direct Process - July 15, 2021 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 Enrollment Broker Medicaid and NC Health Choice Provider and Health Plan Lookup Tool - June 14, 2021 For more information on the Enrollment Broker notices and beneficiary materials, visit the Beneficiary Materials page. Non-Emergency Medical Transportation For Non-Emergency Medical Transportation (NEMT) fact sheets, please see the NEMT page on the County Playbook Programs and Services 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 - June 29, 2021 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 Guides MMC Checklist For more information on AHEC practice support, visit the AHEC Practice Support page. Health Plan Resources 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. Quick Reference Guides Day One Provider Quick Reference Guide - July 8, 2021 AmeriHealth Caritas North Carolinahttps://www.amerihealthcaritasnc.com/provider/forms/index.aspx Carolina Complete Healthhttps://network.carolinacompletehealth.com/resources/manuals-and-forms.html Healthy Blue (Blue Cross Blue Shield)https://provider.healthybluenc.com/north-carolina-provider/manuals-and-guides United Healthcare Community Plan of North Carolinahttps://www.uhcprovider.com/en/health-plans-by-state/north-carolina-health-plans/nc-comm-plan-home/nc-cp-training.html WellCare of North Carolinahttps://www.wellcare.com/North-Carolina/Providers/Medicaid
Fact Sheets Fact Sheet What Providers Need to Know – After Managed Care Launch Day One Provider Quick Reference Guide Department Fact Sheets Medicaid Transformation Introduction to Medicaid Transformation: Part 1 – Overview - June 14, 2021 Introduction to Medicaid Transformation: Part 2 – Enrollment and Timelines - June 14, 2021 Eastern Band of Cherokee Indians (EBCI) Tribal Option Overview - Oct. 4, 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 What Providers Need to Know: Part 3 – Before Tailored Plan Launch - Jan. 3, 2022 Contracting Contracting with Health Plans - Jan. 4, 2021 For more information, visit the Provider Contracting with Health Plans page. Member Enrollment Request to Move to NC Medicaid Direct Process - July 15, 2021 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 Enrollment Broker Medicaid and NC Health Choice Provider and Health Plan Lookup Tool - June 14, 2021 For more information on the Enrollment Broker notices and beneficiary materials, visit the Beneficiary Materials page. Non-Emergency Medical Transportation For Non-Emergency Medical Transportation (NEMT) fact sheets, please see the NEMT page on the County Playbook Programs and Services 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 - June 29, 2021 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 Guides MMC Checklist For more information on AHEC practice support, visit the AHEC Practice Support page. Health Plan Resources 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. Quick Reference Guides Day One Provider Quick Reference Guide - July 8, 2021 AmeriHealth Caritas North Carolinahttps://www.amerihealthcaritasnc.com/provider/forms/index.aspx Carolina Complete Healthhttps://network.carolinacompletehealth.com/resources/manuals-and-forms.html Healthy Blue (Blue Cross Blue Shield)https://provider.healthybluenc.com/north-carolina-provider/manuals-and-guides United Healthcare Community Plan of North Carolinahttps://www.uhcprovider.com/en/health-plans-by-state/north-carolina-health-plans/nc-comm-plan-home/nc-cp-training.html WellCare of North Carolinahttps://www.wellcare.com/North-Carolina/Providers/Medicaid
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