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 Medicaid’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 Shannon Dowler, MD, Chief Medical Officer, NC Division of Health Benefits. Moderated by Hugh Tilson, Director of the NC AHEC Program.

Every 3rd Thursday of the month from 5:30-6:30 PM
  
December 15, 2022 | Medicaid Hot Topics
January 19, 2023 | Medicaid Hot Topics
February 16, 2023 | Medicaid Hot Topics
March 16, 2023 | Medicaid Hot Topics
April 20, 2023 | Medicaid Hot Topics
May 18, 2023 | Medicaid Hot Topics
June 15, 2023 | Medicaid Hot 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.


March 3, 2023 @ 5:30 p.m. | Provider Enrollment
June 1, 2023 @ 5:30 p.m. | Provider Enrollment


Additional Webinars on Special Topics

December 12, 2022 @ 5:30 p.m. | Patient Risk List Companion Guide
This webinar will be leveraged to review the newly released NC Medicaid Managed Care Patient Risk List Companion Guide with Standard Plan Health Plans, Tailored Plans, Prepaid Inpatient Health Plans (PIHP), Advanced Medical Home Tier 3s, Advanced Medical Home + (AMH+) practices, Care Management Agencies (CMA), and their designated Clinically Integrated Networks (CINs) or Other Data Partners.

December 14, 2022 @ 5:30 p.m. | TCM Provider Training on 1915(i) Waiver
Training for Tailored Care Management providers on how they will support the addition of1915(i) services to the NC Medicaid population. During this session, the team will highlight important updates and actions for Tailored Care Management (TCM) Providers related to the 1915(i) waiver, including a review of the 1915(i) services, understanding the assessments required for the 1915(i) services and what role TCM providers play in supporting members who receive services under the 1915(i) waiver.


2nd 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 two Quality Forums. See recordings and slides from the August 2022 forum as well as the October 2021 forum by clicking on the button below.


Webinar Series: Healthy Opportunities

North Carolina’s Healthy Opportunities Pilot program is an unprecedented opportunity to test the integration of evidence-based, non-medical interventions into the state’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.

Join us for webinars designed for frontline care managers at the first 3 CINs to participate in the HO Pilots (essential); other frontline care managers serving Pilot regions are encouraged to attend.

In addition to the above webinar series, we are offering the following courses:
Using Motivational Interviewing to Support the Healthy Opportunities Pilots: This course employs effective techniques to quickly build rapport with cases and contacts. Creating a relationship that is non-judgmental and builds on the client’s strengths will allow for a much more productive exchange of information. This technique is critical in working with known COVID-19 cases and contacts. You can register for this course here.

Diversity, Equity, and Inclusion Training – Cultural Humility: This course includes training on Cultural Humility 101 and Culturally Responsive Clinical Care, both of which are required training for Care Management Entities participating in Healthy Opportunities Pilots.  Culturally responsive care is an essential component of ensuring the services individuals and families receive are person-centered, compassionate, and highly effective.  

In addition, building the skills and capacity for diversity, equity and inclusion (DEI) takes time to learn and integrate into patient care.  For this reason, it is highly recommended that HO Pilot participants add to their calendar completing additional trainings, such as Implicit BiasStructural RacismCommunication in Healthcareand Microaggressions


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).


Webinar Series: Dental Provider Educational Sessions

The NC Medicaid Dental Policy Team and the Office of Compliance & Program Integrity (OCPI) Team hosted two (2) Dental Provider Educational Sessions in Spring of 2022 for the following: Dentists/ Specialty Dentists, Office Managers, Front Desk/Insurance Coordinators, Dental Hygienists, and Dental Assistants.



Health Plan Virtual Meet & Greets

Health Plan Meet & Greet live sessions concluded on April 8, 2021.

Meet Our Team

Our Partners

We all share the responsibility of ensuring quality health care is delivered to the citizens of North Carolina. Collaboration is key to achieving this goal. We appreciate our partners for their support of NC AHEC Practice Support.