Prepaid Health Plan Information Added to NCTracks Automated Voice Response System

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Prepaid Health Plan Information Added to NCTracks Automated Voice Response System

Effective July 1, 2021, enrollment and eligibility data was added to NCTracks for managed care (MC). The added information will allow authorized users to search the following:

  • MC Prepaid Health Plan (PHP) provider name
  • MC PHP provider contact information
  • MC Advance Medical Home (AMH) and primary care provider (PCP) name
  • MC AMH and PCP contact information

In addition to the changes made in the NCTracks portal, the corresponding 270/271 companion guide (located on the Trading Partner Information Page) has been updated to reflect the additional information. Trading partners and providers are encouraged to review these important updates.

NCTracks Home Page

Keeping Kids Well During COVID-19

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Keeping Kids Well During COVID-19

Since the beginning of the pandemic, pediatric providers have seen a marked decrease in the rates of well-child visits and childhood vaccinations. Parents across the board have been less likely to keep these critical medical appointments during COVID-19. Developmental screening tests and immunizations are just a few of the important measurements that are noted at the well-child check-ups.

In an effort to increase these appointments and immunizations rates, Community Care of North Carolina (CCNC) and NC AHEC, under the direction of the North Carolina Department of Health and Human Services (NC DHHS), has launched the Keeping Kids Well program. CCNC and NC AHEC, through Practice Support coaches, work with practices experiencing a greater number of care gaps to improve these measures and also work to raise awareness of the problem among North Carolina’s parents.

Southern Regional AHEC was awarded a grant to work towards increasing these numbers. One way is through the development of a Keeping Kids Well video that we have created. We hope that you will pass on to your parents and providers.

Additionally, there are provider and parent materials that can be offered. Our hope is the video message and these materials will be helpful to clinicians and parents alike.

For Providers:

Provider Tip Sheet on Well-Child Visits

Provider Tip Sheet on Immunizations

Suggested interventions 

For Parents:

Recommended Immunization Schedule 

Many thanks to North Carolina’s doctors and nurses for the work they do to keep North Carolina’s children healthy, despite the pandemic.

Practice Support Services is Transforming Healthcare Delivery

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Practice Support Services is Transforming Healthcare Delivery

Southern Regional AHEC Practice Support team is committed to helping providers in our region. The SR-AHEC Region consists of the following Counties: Cumberland, Harnett, Hoke, Lee, Montgomery, Moore, Richmond, Robeson, Sampson, and Scotland. We are committed to helping providers meet national standards and ready themselves for valued based care. Health care practices in North Carolina face many challenges. Our team is trained to work with you to transform the way in which care is delivered in your practice. The advantages of working with SR-AHEC Practice Coaching Team are:

  1. Our services are at NO-COST to the practice as an onsite or virtual resource. We help minimize MIPS costs with our free service and can help recommend efficiencies.
  2. We help practices optimize potential payment increases while helping them avoid potential penalties.
  3. We can help optimize actionable and relevant clinical data from the EHR.
  4. We can recommend improvement in processes for efficiencies across the practice.

Link to SR-AHEC Application

Our Practice Support Coaching Team Offers Support for Transitioning to Medicaid Managed Care

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Our Practice Support Coaching Team Offers Support for Transitioning to Medicaid Managed Care

“Medicaid Transformation” 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 prepare providers, practice managers, and quality managers for MMC which is going live July 1, 2021. These webinars are hosted by Shannon Dowler, MD, Chief Medical Officer of the NC Division of Health Benefit. The series will feature various subtopics on Medicaid Managed Care on the first Thursday of each month, Advanced Medical Homes on the second Thursday of each month, and clinical quality on the third Thursday of each month through June 2021. Topics will be listed as they become available. LINK

Other resources for Medicaid Managed Care for Providers, Practice Managers and Quality Managers

Link to Provider Playbook

COVID-19 Information, Education, and Resources

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COVID-19 Information, Education, and Resources

Southern Regional AHEC Practice Support staff will support community-based efforts for COVID-19. Our staff has begun teleworking and utilizing technology to conduct encounters with clinicians and practice staff.

We remain fully committed to supporting our community of clinicians and practice staff through this virtual outreach. Our practice support coaches will continue to provide services for you during the pandemic.

Additional educational resources on COVID-19 or practice support

Link to testing site

Link to vaccine location

Billing tip sheets

Promoting Interoperability Program: NC MIPS/Meaningful Use

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Promoting Interoperability Program: NC MIPS/Meaningful Use

Effective Apr. 24, 2018, the Centers for Medicare and Medicaid Services (CMS) renamed the Medicaid EHR Incentive Program to the Promoting Interoperability Program (PIP).

This is a reminder to those providers who have successfully attested at least once by the end of Program Year 2016, they can attest for a total of six years by 2021. This year (2021) will be the last year of participation. Check out this useful link.

In the Merit Incentive Based Payment System (MIPS), you may earn performance-based payment adjustments for the services you provide to Medicare patients. Check out this useful link.

Your Performance Year 2021 eligibility status can be updated throughout the year based on the following: MIPS eligibility updates after Segment 2 of the MIPS Determination Period (available December 2021), QP Determinations (snapshot data generally available July 2021, October 2021, December 2021), and Eligibility to report for MIPS via the APM Performance Pathway (snapshot data generally available July 2021, October 2021, December 2021)

North Carolina’s new, modernized health information exchange, NC HealthConnex, brings added value to health care conversations happening at all levels in the health care industry. It breaks down information silos between health care providers, achieves greater health care outcomes for patients and creates efficiencies in state-funded health care programs such as Medicaid. Many other states have been operating health information exchanges for years and are seeing success in improving patient care.

NCAHEC offers training to the NCHIEA provider portal

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