Recent COVID 19 Prescription Flexibilities

Recent COVID 19 flexibilities (link) have made it easier for providers to provide 90-day prescriptions of most generic and brand name non-controlled medications covered by NC Medicaid. Current flexibilities allow this 90-day supply to be filled when the prescription is either written for 90-day supply or has enough refills remaining to fill for 90 days (Bulletin # 44).

The initial 30-day fill is not required. Controlled substances are excluded from 90-day fills, with the exception of the following allowable up to 90 days:

  • Schedule 2 medications typically prescribed for Attention Deficit Hyperactivity Disorder (i.e. stimulants such as amphetamine combo and methylphenidate, etc.).
  • Medications prescribed for Opioid Use Disorder Medication Assisted Treatment and paid for via the point of sale outpatient pharmacy program (i.e. buprenorphine/naloxone products).

In addition, NC Medicaid (link) encourages beneficiaries to request, and pharmacy providers to mail or deliver via courier prescriptions to beneficiaries, during the COVID-19 pandemic to achieve better social distancing within their community.

In the interest of supporting adherence to antipsychotic as well as other medications, Alliance Health is making providers aware of this information so they can continue to work with their patients and their pharmacy around 90 day prescriptions with mail or home delivery whenever possible.

DHHS to Host Behavioral Health I/DD Tailored Plan Webinar

On Wednesday, October 28, 2020, at 2:00 PM DHHS will host a webinar to provide an overview of what is happening in North Carolina, review key information about Behavioral Health I/DD tailored plans, and highlight what’s next for beneficiaries.

To Register: https://attendee.gotowebinar.com/register/8653616516702940171

  • Registration is required to access the webinar
  • Dial-in options will be provided once you register

Closed-Captioning: https://www.captionedtext.com/client/event.aspx?EventID=4608727&Customer…

More information can be found at, https://medicaid.ncdhhs.gov/providers/programs-and-services/behavioral-health-idd/behavioral-health-idd-tailored-plan

Provider Housing Training Series

Alliance Health has planned a series of housing trainings for our providers. Each training will take place via Zoom. A downloadable list of all the trainings is also available here.

Electronic Visit Verification ( EVV) Provider Webinar

Attention EVV Providers: Electronic Visit Verification Provider Webinar Reminder.

Please register for one of three available webinars:

  • Tuesday, October 27 at 10 am
  • Wednesday, October 28 at 11 am
  • Thursday, October 29 at 2 pm

A registration link will be provided to the contact who completes the HHAeXchange Portal Configuration Questionnaire. For information on how to access this questionnaire or register for an EVV Provider Webinar timeslot, please contact [email protected].

Information sessions will be held jointly with the other LMEs using HHAeXchange across North Carolina beginning in October 2020.

What is EVV?

Section 12006 of the Twenty First Century Cures Act (Cures Act) and The Centers for Medicare & Medicaid Services (CMS) requires that states begin utilizing an Electronic Visit Verification System (EVV) for a number of select services within NC Innovations and TBI Waiver programs, in addition to select B3 Services, by January 1, 2021

Due to the COVD-19 pandemic, Alliance Health and HHAeXchange will provide Information Sessions via webinar, as we are fully committed to providing the necessary information to ensure providers are able to comply with the CURES Act while ensuring the health & safety of all employees.

Revised Provider Operations Manual Effective Today

The revised version of the Alliance Provider Operations Manual that was placed on the website for review on September 16 is now effective.

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Brain Injury Association of NC Conference Information

​Interested in learning more about supporting individuals with brain injury? Click here for Information about the Brain Injury Association of North Carolina’s upcoming virtual conference.

Providers assisting individuals with traumatic brain injury (TBI) can also learn more about the services and supports available through North Carolina’s TBI Waiver here.

AlphaMCS 2.17 Build complete

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LME-MCO Joint Communication Bulletin # J379

Please see LME-MCO Joint Communication Bulletin #J379 Addition of ASAM Requirements for the Comprehensive Clinical Assessment (CCA) and Diagnostic Assessment (DA) for proposed amendments to Clinical Coverage Policy 8C, Section 7.3.2 (CCA Format) and Clinical Coverage Policy 8A, Attachment D, Diagnostic Assessment (Elements of the Diagnostic Assessment). The amendments will add a requirement that includes the determination of ASAM level of care to assessments of individuals with a substance use disorder (SUD) diagnosis effective in the spring of 2021. This requirement will also be implemented for any Comprehensive Clinical Assessment (CCA) or Diagnostic Assessment (DA) supported by state funds.

NC DHHS TBI Waiver Webinar

Please join NC DHHS for a webinar on North Carolina’s Traumatic Brain Injury (TBI) Pilot Waiver on October 28 from 4:00pm – 5:00pm.  DHHS will provide an update on the Pilot TBI Waiver and discuss the plans for the TBI Waiver’s future. This webinar is open to all stakeholders and anyone interested in NC’s TBI Pilot Waiver.

Please register for this Webinar in advance, using the following link:
https://attendee.gotowebinar.com/register/1752862737983970571

AlphaMCS 2.17 Build

The next AlphaMCS build is scheduled to occur Wednesday, October 14, 2020. The system will be unavailable from 5:00 – 9:00 pm. Please make sure you are logged out of the AlphaMCS system prior to 5:00 pm.