A Coordinated Approach to Behavioral Health

What is NC AHEC’s role with Tailored Care Management (TCM)?

NC AHEC in partnership with NC DHHS and NC Medicaid provides a comprehensive suite of courses that equips TCM provider organizations and tailored plans with the knowledge to effectively provide care management services to North Carolina’s Tailored Plan beneficiaries.

Through Tailored Care Management (TCM), launched December 1, 2022, Behavioral Health (BH) – I/DD Tailored Plan beneficiaries have a single designated care manager supported by a multidisciplinary care team to provide whole-person care management that holistically addresses their needs. This includes physical health, behavioral health, intellectual and developmental disabilities (I/DD), traumatic brain injuries (TBI), pharmacy, long-term services and supports (LTSS), as well as unmet health-related resource needs. Tailored plans have assigned geographic areas. A list of tailored plans, contact information, and covered counties is available at NC DHHS.

The success of Tailored Care Management will depend upon BH/IDD Tailored Plans, AMH+ practices, CMAs, pharmacies, physical health, behavioral health, and I/DD providers working together to provide a coordinated approach to beneficiary care.

For additional information and resources about Tailored Care Management, visit the DHHS Division of Health Benefits Tailored Care Management webpage.

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Tailored Care Management, Learning Collaborative & DHB Office Hour Sessions

Tailored Care Management Learning Collaboratives and DHB Office Hours are designed for TCM certified organizations at no cost. The sessions provide content experts and peer-to-peer learning opportunities to AMH+ and CMA organizations as they implement TCM. Sessions will continue every first and third Wednesday of the month from 12:30–1:30 PM. Please register for the TCM Learning Collaboratives on the TCM Web Portal’s “Events Calendar” section. Contact your AHEC Coach supporting TCM for additional information.
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Tailored Care Management, Continuing Professional Development

NC AHEC provides Tailored Care Management courses to certified TCM agencies and live events to the community. Courses and events are offered to certified TCM agencies with continuing education credit at no cost. There is a registration/credit fee for community members desiring to learn more about Tailored Care Management topics. Webinar platforms are provided for all events.

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For questions about NC AHEC Tailored Care Management (TCM) Continuing Professional Development, contact Scott Melton at Scott.Melton@mahec.net. 

Support for Advanced Medical Homes 

Looking for the AMH Tier Support Tool? Download here
Looking for the AMH IT/Gap Tool? Download here
Looking for the CIN AMH Tier 3 Checklist? Download here

A primary care practice is eligible for Practice Support if they are (1) in network with at least one Medicaid PHP and (2) one of the following:

• Tier 2 *essential practice

• Tier 3 *essential practice wanting to reassess appropriate Tier level and/or strengthen

Tier 3 readiness and performance

• Tier 2 or 3, health system affiliated, or owned practice located in medically

under-resourced community

*Essential practices include independently owned primary care; FQHCs; RHCs; and local

health departments with primary care.

Advanced Medical Home Webinar Series

In December 2020, a new Medicaid Managed Care webinar series on the Advanced Medical Home (AMH) program was offered to Medicaid primary care practice staff and clinicians. The series was designed to support practice managers, quality improvement professionals, care coordinators, and others responsible for meeting the NC Medicaid AMH Tier 2 or 3 requirements. View past recordings, slides, and transcripts of all the topics by clicking on the button below:

North Carolina AHEC is now offering two additional webinar series on Medicaid Managed Care topics in partnership with the North Carolina Department of Health and Human Services. Learn more.

Medicaid Managed Care

NC AHEC Practice Support has partnered with the North Carolina Department of Health and Human Services and Division of Health Benefits to help healthcare providers thrive under Medicaid Managed Care.  Practice Support provides no-cost assistance with education and issue resolution, quality improvement, clinical workflow redesign, Advanced Medical Home tier support, EHR optimization, telehealth integration, HIE training and integration, operational needs assessments, revenue cycle management, and behavioral health integration via Collaborative Care Management.  In addition, Tailored Care Management courses are available for TCM community-based providers.  Practice support assistance can be requested via practicesupport@ncahec.net.  More information is also available on the NC Medicaid website for providers.

Webinar Series

The North Carolina Department of Health and Human Services Division of Health Benefits and North Carolina AHEC offered a series of webinars and trainings to help providers, practice managers, and quality managers succeed with Medicaid Managed Care.  Archives of past webinars including recordings and presentation slides are available below.