A Coordinated Approach to Behavioral Health
What is NC AHEC’s role with Tailored Care Management (TCM)?
North Carolina Department of Health and Human Services, Division of Health Benefits (DHB) has partnered with NC AHEC to provide statewide practice support, education, and technical assistance to Advanced Medical Home Plus (AMH+) and Care Management Agency (CMA) organizations who pass the TCM desk review component of the service certification process. The purpose of AHEC’s technical assistance is to enable AMH+/CMA candidate organizations to successfully complete organizational site reviews and achieve certification. AHEC’s program is also designed to equip TCM candidates with the tools and knowledge to effectively provide care management services to North Carolina’s Tailored Plan beneficiaries.
Through Tailored Care Management (TCM), scheduled to launch July 1, 2022, Behavioral Health (BH) – I/DD Tailored Plan beneficiaries will 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.
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 more Tailored Care Management service and certification information and resources and to download the application to become an AMH+ or CMA provider, please visit the DHHS Division of Health Benefits Tailored Care Management webpage. And, be sure to check out a new DHHS webinar series, Tailored Care Management 101, designed to help develop a shared understanding of the model across the North Carolina provider community (including advanced medical homes and behavioral health, I/DD, and TBI providers). The webinar series will run from October through mid-December, on Fridays from noon to 1 p.m. Please note this webinar series is offered at no cost and is voluntary.
Tailored Care Management, Learning Collaborative Sessions
AMH+ and CMA organizations who have completed their Tailored Care Management (TCM) application and passed their TCM certification desk review, are eligible and required to participate in the TCM Learning Collaborative sessions provided by NC AHEC at no cost. The sessions are designed to provide content experts and peer-to-peer learning opportunities to AMH+ and CMA organizations as they prepare for TCM implementation and site reviews by the North Carolina Department of Health and Human Services. Sessions will continue every first and third Wednesday of the month from 12:30–1:30 PM.
September 1, 2021 | Gap Analysis Tool & Passing Site Review: Goal Setting
September 15, 2021 | Selecting Your Organizational Partners
October 6, 2021 | Supervising & Tracking Care Management
October 20, 2021 | Setting Population Health & CQI Goals
November 3, 2021 | Troubleshooting for the Medicaid Site Review Part 1
November 17, 2021 | Troubleshooting for the Medicaid Site Review Part 2 NCQA Role & Process
December 1, 2021 | Models for Reporting & Tracking Outcomes
December 15, 2021 | TCM Data Sharing & Strategy
January 5, 2022 | Risk Stratification & Acuity Tiering
January 19, 2022 | Sustainability Models
February 2, 2022 | Emergency Services & Walk-in Crisis
February 16, 2022 | Tailored Plan Billing & Coding
March 2, 2022 | Team-based Care in Integrated Care Settings
March 16, 2022 | Serving Co-occurring Diagnoses: Behavioral Health & Substance Abuse
April 6, 2022 | Implementing Tailored Care Management
April 20, 2022 | Working with the IDD/TBI Population
May 4, 2022 | Equity, Diversity, Inclusion – Cultural Competencies
May 18, 2022 | OBGYN/Substance Use Disorders (SUD)
June 1, 2022 | Trauma-informed Care
June 15, 2022 | The Comprehensive Care Management Assessment: Requirements & Reporting
July 6, 2022 | Working with Justice-involved Patients/Clients
July 20, 2022 | Addressing Unmet Health/Resource Needs
August 3, 2022 | Improving Patient Access & Engagement
Appropriate continuing education credit is offered for live participation in the Tailored Care Management Learning Collaborative sessions. A certificate of completion is awarded for viewing of recorded sessions. It is recommended that AMH+ and CMA organizations save NC AHEC educational certificates for the site review.
Tailored Care Management, Continuing Professional Development
NC AHEC provides monthly Tailored Care Management related course offerings to both AMH+/CMA candidates and the community. Educational events are hosted by NC AHEC and regional AHECs, and various types of continuing education credit, depending on the topic. Events are offered at no cost to the AMH+/CMA candidates passing the certification desk review. 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.
For questions about NC AHEC Tailored Care Management (TCM) Practice Support, contact Liz Griffin at Elizabeth.Griffin@conehealth.com.
For questions about NC AHEC Tailored Care Management (TCM) Continuing Professional Development, contact Scott Melton at Scott.Melton@mahec.net.
Collaborative Learning Sessions and Recordings are for TCM providers who have passed the desk review, and are offered free of charge. The community may participate in the Continuing Professional Development events for a fee.
Meet Our Team
Carol Stanley , MS, CPHQ
Medicaid Transformation Manager
Director of Practice Support
Mary McCaskill , BS, RT-R
Health IT Manager
Monique Mackey , MLS
Debbie Grammer , MPH, CDP
Deputy Director of Practice Support
Business Services Coordinator for Q1
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.