Issued: May 16, 2019
NC Medicaid Managed Care Training Courses
The Division of Health Benefits is hosting a series of webinars that offer a high-level overview for providers of the transition to NC Medicaid Managed Care. Upcoming courses are listed below; providers can view previous webinars or register for future webinars at https://medicaid.ncdhhs.gov/nc-medicaid-managed-care-training-courses.
TODAY – MCT 105: Beneficiary Policies
Thursday, May 16, 2019 – 12 p.m.-1 p.m. (Register)
This webinar will provide participants with an overview of key policies affecting beneficiaries who will be enrolling in Medicaid Managed Care. The materials will cover beneficiary-related topics that have an impact on providers such as: 1) beneficiary eligibility and enrollment, 2) PCP selection, 3) beneficiary supports, 4) grievances & appeals, 5) and how to address the social needs of patients. Time will be allocated for questions and answers.
MCT 106: Behavioral Health Services: Standard Plans and Transition Period
Thursday, May 23, 2019 – 112 p.m.-1 p.m. (Register)
Providers can expect to receive a high degree of clarification and information related to behavioral health billing transition, including: services transitioning to Standard Plans; those services that will continue to be billed to LME-MCOs; and transition timing for Tailored Plans. In addition, providers will receive guidance on contracting with Standard Plans as well as how to avoid process issues that prevent beneficiaries enrolled in Standard Plans from accessing necessary services (especially crisis services) only covered under future Tailored Plans.
MCT 107: Contracting with AMH Practices
Thursday, May 30, 2019 – 12 p.m.-1 p.m. (Register)
This webinar provides contracting guidance and reminders to Advanced Medical Home (AMH) Tier 3 practices as they consider provider network participation with PHPs. Established DHHS contracting guardrails are reviewed with AMH Tier 3 practices, including payment, and standard terms and conditions. Clarification will be provided on expectations for practices that attested to Tier 3 and options available to ensure that they can meet the content of the attestations in anticipation of Medicaid Managed Care go-live (November 2019). The webinar also reviews timeliness for contracting. Time will be allotted for questions and answers.
Behavioral Health IDD Tailored Plan Care Management Meetings
The NC Department of Health and Human Services (DHHS) will host a webinar on Behavioral Health and Intellectual and Developmental Disability Tailored Plan Care Management on Thursday, May 30, 2019 from 10 a.m.-11 a.m. This webinar will provide an overview of the planned approach to care management for beneficiaries enrolled in BH IDD Tailored Plans, including the vision for managing beneficiaries’ total needs across medical, behavioral and unmet health-related resource needs through care management; an overview of BH IDD Tailored Plan and provider roles and responsibilities under the model; specific requirements of the model; and relationships with waiver and other existing programs.
On March 18, 2019, DHHS released a final policy guidance paper on these key concepts. The full paper can be found at https://files.nc.gov/ncdhhs/BH-IDD-TP-FinalPolicyGuidance-Final-20190318.pdf.
Meetings are open to the public. To register for the webinar, click here. To learn about future meetings, please visit https://medicaid.ncdhhs.gov/behavioral-health-idd-tailored-plans.
Energy Tips for Members
A large part of monthly housing expenses is the energy expenses, which can drastically increase in the winter and summer months. A consumer’s budget can quickly get out of control during these months and the beginning of summer may be a good time to share some energy efficiency tips with them. These tips and more can be found at www.energy.gov.
- Utilize ceiling fans more often
- Open windows in the evening
- Turn off lights and appliances when not in use
- Dry clothes outdoors instead using the dryer
- Close south– and west–facing window curtains during the hottest part of the day
- Set thermostat as high as comfortably possible
- Avoid using the oven on especially hot days and cook on the stove or grill outdoors
Additionally, the Department of Health and Human Services coordinates with local agencies every year to provide fans for older adults and people with disabilities. These fans provide some relief from the heat and reduces heat related illnesses. In the Partners catchment area, these agencies can be contacted:
- Burke Senior Services 828-430-4147
- Catawba Council on Aging 828-328-2269
- Cleveland Council on Aging 704-482-3488
- Gaston Department of Social Services 704-862-7844
- Iredell Department of Social Services 704-873-5631
- Lincoln Department of Social Services 704-732-1969
- Surry 336-783-8807
- Yadkin 336-367-7257
For more information about the fan program, visit www.ncdhhs.gov/operation-fan-and-heat-relief.com or contact Bre Griffin, Housing Educator, at 704-884-2514 or firstname.lastname@example.org.