Provider Transition to Managed Care Reminders Webinar on How Beneficiaries Move Between the Standard Plan and Behavioral Health I/DD Tailored Plan and Virtual Office Hours Available

Webinar: How Beneficiaries Move Between the Standard Plan and Behavioral Health I/DD Tailored Plan
Join us for an upcoming webinar on Wednesday, Nov. 6, 2019, from 2-3 p.m. which will address eligibility for the Behavioral Health and Intellectual/Developmental Disability Tailored Plan and how beneficiaries can request to transition between the Standard Plan and Behavioral I/DD Tailored Plan. Register to attend the webinar

Virtual Office Hours
Virtual Office Hours sessions offer an interactive format for providers to have their questions answered. Providers are encouraged to submit questions in advance to Medicaid.virtualofficehours@dhhs.nc.gov for discussion during Virtual Office Hours. 

Upcoming session: Provider reviews, audits and investigations in Medicaid Managed Care, Tuesday, Nov. 12, 2019, from 12-1 p.m. For more information, registration and materials from previous sessions, visit: https://medicaid.ncdhhs.gov/virtual-office-hours 

REMINDER: Contracting Deadline Nov. 15, 2019
For inclusion in auto-enrollment, provider contracts must be signed and mailed to health plans no later than Nov. 15, 2019. More information is available at: https://medicaid.ncdhhs.gov/providers/provider-contracting-health-plans

Transition of Care
Supporting beneficiaries in their transition between the current fee-for-service delivery system and NC Medicaid Managed Care is called transition of care. The transitional period surrounding the launch of Medicaid Managed Care is referenced as crossover.

DHHS initiated crossover-specific activities in August 2019 and will continue these activities through April 2020. These activities are designed to safeguard continuity of care for beneficiaries, and include:

  1. Crossover-specific communication and education to providers, beneficiaries and other stakeholders.
  2. Time-limited data transfer to ensure Prepaid Health Plans (PHPs) have claims history, prior authorization data and other information necessary to effectively support enrolled beneficiaries.
  3. Implementing additional safeguards for high need beneficiaries.
  4. Crossover-specific monitoring of the beneficiary and provider transition experience.

For more information on upcoming opportunities to learn about crossover-related activities and processes, please visit: https://medicaid.ncdhhs.gov/nc-medicaid-managed-care-training-courses 

All the latest information and resources
The Provider Playbook has the latest information, tools and other resources to help providers and patients smoothly transition to Medicaid Managed Care.