Medicaid Managed Care Trainings

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, COVID19 vaccine assistance, quality improvement, clinical workflow redesign, Advanced Medical Home tier support, EHR optimization, telehealth integration, HIE training and integration, operational needs assessments, revenue cycle management, Tailored Care Management education and issue resolution, and Community Health Worker integration.  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 are offering an evening webinar series to help providers, practice managers, and quality managers succeed with Medicaid Managed Care.

Hosted by Shannon Dowler, MD, Chief Medical Officer of the NC Division of Health Benefits, the Medicaid Managed Care webinars on the 3rd Thursday of the month are dedicated to bringing you late breaking information and guidance on NC Medicaidā€™s transition to Managed Care.

Topics will vary, but each session will include an open question and answer period. Upcoming topics will include: pharmacy and durable medical equipment, behavioral health, transitions of care, specialized therapies, quality measures, network adequacy, provider directory, billing, incentive payments, clinical coverage policy updates, and more. 


Medicaid Managed Care Webinar Series:
Fireside (Winter)/Back Porch (Spring) Chats on Hot Topics

Hosted by Dr. Janelle White, Chief Medical Officer, NC Division of Health Benefits. Moderated by Hugh Tilson, Director of the NC AHEC Program.

This webinar series is from 5:30-6:30 PM.
  
May 16, 2024 | Topic TBD
August 15, 2024 | Topic TBD
November 21, 2024 | Topic TBD
February 20, 2025 | Topic TBD
May 15, 2025 | Topic TBD


Stay tuned for additional 2024 dates and topics.


Virtual Office Hours for Providers

Medicaid Transformation Provider Services and North Carolina AHEC are offering a series of Virtual Office Hours for providers. These sessions offer an interactive format for providers to ask questions on a variety of Medicaid Managed Care topics.

June 6, 2024 @ 5:30 p.m. | Provider Enrollment


Additional Webinars on Special Topics

This section is for additional webinars that are not part of any series, and include special topics.

Tailored Plan Claim Support for Providers | May 22 at 5:30 p.m.

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Annual Virtual Statewide Quality Forum

The North Carolina Department of Health and Human Services Division of Health Benefits and North Carolina AHEC, in conjunction with the five Medicaid managed care health plans, have hosted three Annual Virtual Statewide Quality Forums.

Save the date!
4th Annual Virtual Statewide Quality Forum
October 2, 2024

Registration information coming soon!

View past forum recordings and slides by clicking the button below.


Webinar Series: Healthy Opportunities

North Carolinaā€™s Healthy Opportunities Pilot program is an unprecedented opportunity to test the integration of evidence-based, non-medical interventions into the stateā€™s Medicaid program. The Pilots will provide non-medical services to qualifying Medicaid members across four domains: housing, food, transportation and interpersonal violence/toxic stress. Critically, frontline care managers working in Pilot regions will play an essential role in identifying members that may benefit from Pilot services, recommending appropriate services and coordinating their care.

Please visit our Healthy Opportunities webpage for more information, including a complete listing of current and past webinar offerings.


Webinar Series: Quality & Population Health

This series, formerly the Advanced Medical Home (AMH) Webinar Series, is designed to support providers, practice managers, quality improvement professionals, care managers, and clinically integrated networks (CINs).

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Workforce Surge Planning Playbooks

Last updated September 20, 2022 at 12:40 p.m.

In March 2021, NC AHEC released the Pandemic Health Care Workforce Study at the direction of the North Carolina General Assembly. The study details the impact of the COVID-19 pandemic on the health care workforce and health care delivery across the state and recommends strategies for better addressing the current pandemic and to better prepare for future health crises. Click here to view the study.

Ensuring an adequate and appropriately trained workforce in hospitals, health systems, and practices is an essential component of preparation for and management of patients during the COVID-19 pandemic.

To support that work, the NC AHEC Program has prepared a new resource for COVID-19 Surge Planning.Ā TheĀ COVID-19 Preparedness Checklists,Ā Planning Considerations for Acute Care and Long-term Care Populations andĀ Planning Considerations for Home-Based Care Populations, are high-level overviews of guidelines for organizations to consider as they prepare clinical spaces, workforce skills, and patient care supplies for an increase in patient volume in the wake of COVID-19. TheĀ CDC has released guidance on preparations for COVID-19 in outpatient and ambulatory care settings.Ā 

To specifically support workforce planning to meet the surge demands for distinct patient care populations, the overview is accompanied with a series of other guidelines, or playbooks, that match strategies for maximizing skill utilization with appropriate resources for training, cross-training, and retraining workers.

At each Basecamp link, there is a download button at the bottom of the page that converts the document to a PDF for viewing. These are living documents and will be updated as additional resources become available.  Please send feedback and suggestions to NCAHECworkforcesurge@gmail.com.

Playbooks

COVID-19 Workforce Skills Surge Planning Playbook for Pharmacy Services

COVID-19 Workforce Skills Surge Planning for Patients Requiring Critical or ICU Care

COVID-19 Workforce Skills Surge Planning for Patients in Home-based Care

COVID-19 Workforce Skills Surge Planning for Patients in Long Term Care

COVID-19 Workforce Skills Surge Planning Playbook for Patients Requiring General Inpatient Medical Care

COVID-19 Workforce Skills Surge Planning for Patients Requiring Ambulatory Care

Preparedness Checklists

Planning Considerations for Acute Care and Long-term Care Populations

Planning Considerations for Home-Based Care Populations

Basic Medicine and Critical Care Skills

Last updated May 6, 2020 at 2:28 p.m.

Lectures and Provider Tip Sheets

The following recorded lectures and tip sheets offered by NC AHEC and the UNC School of Medicine are designed to inform and support heath care professionals through increased patient volume due to the COVID-19 pandemic.

Basic Medicine Refresher Lectures

View the full playlist.

Abdominal Pain
Alcohol Withdrawal
Altered Mental Status in Inpatient
Back Pain
Cellulitis
Chest Pain I
Chest Pain II
COPD
Dental Pain
Heart Failure I
Heart Failure II
Headache
Hypertension
Pancreatitis
Panic & Generalized Anxiety Disorders
Skin Emergencies and Infections
Syncope
Vaginal Bleeding

Information for Re-entry Providers

Critical Care Refresher Lectures

View the full playlist.

Airway Management for COVID-19 Patients I
Airway Management for COVID-19 Patients II
Altered Mental Status in Emergency Medicine
ARDS and Ventilator Management I
ARDS and Ventilator Management II
GI Bleed
Management of Diabetic Ketoacidosis (DKA)
Mechanical Ventilation I
Mechanical Ventilation II
Mechanical Ventilation III
Psychiatry in Emergency Care
Introduction to Emergency Medicine