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Alliance Announces New Clinical Leadership

Alliance Health has named Mehul Mankad MD as its new Chief Medical Officer effective in October. Read more here.

September 18 All-Provider Meeting

Alliance Health’s All Provider Meeting is scheduled for Wednesday, September 18 from 1:00-3:30pm at the Alliance home office. This meeting will include a live webinar as Alliance and NC DHHS provide a Joint Provider Education Session​ on the Transition to NC Medicaid Managed Care’s Standard Plan Option. In February 2020 many members currently served by Alliance will transition to the Standard Plan Option under NC Medicaid Managed Care. Supporting Medicaid members through transitions between service delivery systems is called transitions of care. The transitional period surrounding the launch of the Standard Plan option is referenced as Crossover. Alliance is partnering with NC DHHS to provide an overview of Crossover-related processes designed to support providers in ensuring member continuity of care through the transition to the Standard Plan option. Access more details.

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Medicaid Open Enrollment Extended (WEBINAR)

The Department of Health and Human Services (DHHS) will extend open enrollment for Medicaid beneficiaries and move to a statewide transition to managed care on February 1, 2020. Managed care was scheduled to roll out in two phases, with part of the state beginning managed care services on November 1, 2019 and most of the state beginning on February 1, 2020. With today’s announcement managed care will now go-live in one phase for the whole state beginning on February 1, 2020.

The timeline has been adjusted because DHHS cannot implement critical actions to go-live with managed care under the current continuing resolution budget. The updated timeline only impacts counties that were in Phase 1; it does not impact counties that were scheduled for Phase 2. The date of February 1, 2020 for statewide implementation remains unchanged. Access more details. DHHS will continue to move forward on activities that are not tied to budget action, including supporting open enrollment. We urge all stakeholders to do the same and continue to work towards the February 1, 2020 implementation date.

DHHS will host a webcast on Wednesday, September 4 from 4:00-5:00pm to provide additional details and set aside time to answer your questions. Register online.

The 27 counties where open enrollment will be extended include: Alamance, Alleghany, Ashe, Caswell, Chatham, Durham, Davidson, Davie, Forsyth, Franklin, Granville, Guilford, Johnston, Nash, Orange, Person, Randolph, Rockingham, Stokes, Surry, Vance, Wake, Warren, Watauga, Wilkes, Wilson and Yadkin counties.

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Hurricane Dorian Preparation and Information

As Hurricane Dorian begins to move into our area, please review this page for information on resources and how to notify Alliance should your agency’s services be impacted.

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NCDHHS Moves Statewide Transition to Managed Care to February 1, 2020

The Department of Health and Human Services (DHHS) announced today that it will extend open enrollment for Medicaid beneficiaries and move to a statewide transition to managed care on February 1, 2020.

Managed care in North Carolina was scheduled to roll out in two phases, with Medicaid beneficiaries in part of the state beginning managed care services on November 1, 2019 and most of the state beginning on February 1, 2020. With today’s announcement managed care will now go-live in one phase for the whole state beginning on February 1, 2020.

The timeline has been adjusted because DHHS cannot implement critical actions to go-live with managed care under the current continuing resolution budget. The updated timeline only impacts counties that were in Phase 1; it does not impact counties that were scheduled for Phase 2. The date of February 1, 2020 for statewide implementation remains unchanged.

Why does DHHS need to revise the timeline for managed care?
The transition to managed care is the most significant change ever undertaken by NC Medicaid. For the past four years, the Department has achieved significant milestones to keep the state on track for launch of the program.

The next set of activities that must be implemented depend upon budget action, including finalizing the rates to pay health plans and providers, ensuring health plans have enough providers in their networks to meet the needs of beneficiaries, deploying a complex algorithm to assign beneficiaries who do not self-select plans and doctors, and obtaining federal approval to launch. Since July, DHHS has advised its partners and the General Assembly that the timing of the budget would impact the state’s schedule for moving to managed care.

Furthermore, ongoing budget uncertainty has been an impediment to health plans finalizing contracts with doctors and health providers. An essential component of a well running managed care system is the strength of the health care network available to beneficiaries.

What will happen next for those beneficiaries and clinical providers who had been planning to launch in November?
The Department remains committed to transitioning Medicaid and NC Health Choice from fee-for-service to managed care as directed by the NC General Assembly (Session Law 2015-245). DHHS will continue to move forward with activities that are not tied to budget action, including supporting open enrollment.

Managed care will now launch in one phase. Open enrollment will be extended for the 27 counties in Regions 2 and 4 until December 13, 2019. Nothing changes for the remaining 73 counties. As planned, open enrollment will begin for those 73 counties on October 14, 2019 and run through December 13, 2019.

All stakeholders should continue to work towards the February 1, 2020 implementation date. It is critical that the managed care companies (PHPs) and doctors and health systems continue to work together on contracting.

The 27 counties where open enrollment will be extended include: Alamance, Alleghany, Ashe, Caswell, Chatham, Durham, Davidson, Davie, Forsyth, Franklin, Granville, Guilford, Johnston, Nash, Orange, Person, Randolph, Rockingham, Stokes, Surry, Vance, Wake, Warren, Watauga, Wilkes, Wilson and Yadkin counties.

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Hurricaine Preparations for Medical and Business Records

Important information from the Department of Natural and Cultural Resources regarding your medical and business records during potential natural disasters:

The State Archives of North Carolina is closely monitoring the progress of Hurricane Dorian and the potential impacts it could have on North Carolina. We are encouraging all agencies to start preparation actions to help protect your records.

Stabilize your records storage areas
Ensure that records are a minimum of 3-6 inches off the floor.
Ensure records are in record boxes and clearly labeled
Remove records for bottom drawers of filing cabinets
Consider relocating records to more secure areas in your building. Move records out of areas prone to flooding such basement and attic areas and away from windows and exterior doors.
Cover records with plastic sheeting for additional water protection.
Compile some recovery supplies, including plastic sheeting to cover records and additional record boxes.
Locate the retention and disposition schedule for the records in your office. Retention schedules are available on our website.
Compile an inventory of records and location in building.
Compile information on disaster recovery vendors.
Compile an emergency staff contact list.
If records are damaged by water, the State Archives offers these preliminary resources: Initial Steps Before Recovery of Wet Records, sample inventory control forms, and a selected list of disaster recovery services.

If you have further questions on disaster preparation or in the event that your records do get impacted by a disaster event, please contact the State Archives immediately.

Becky McGee-Lankford (Government Records Section Chief), 919 814-6903 (office), 919 612-0488 (cell)
Sarah Koonts (State Archivist), 919 814-6876 (office), 919 244-5944 (cell)
Mark Holland (Records Analysis Unit Head), 919 814-6908 (office), 704 880-8287 (cell)

Records Analysts are also available to assist you with record retention questions. Their contact information is located on our website at: archives.ncdcr.gov/contact/staff-list#governmentrecords

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Provider Maintenance Application Reminder

Providers are expected to review and verify referral status at least every 90 days in order to stay active on the referral list that is available to the Call Center and Care Coordination. If referral information is more than 90 days old, the provider is removed from the list and may not be considered for referrals from the Call Center and Care Coordination.

The application will send a notification to providers when an update is needed. Please log in to the application at that time and update your information. If your referral status is unchanged, simply click the ‘Verify Referrals’ button.

If you are unable to access the system or have any questions/feedback related to the application, email Melissa Payne at [email protected] or call 919-651-8801.

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Community Meeting on NC Medicaid Managed Care

Senators Gladys Robinson and Garrett will partner with the NC Department of Health and Human Services to host a Community Meeting for physicians, providers and community agencies to provide updated information on managed care, answer questions and obtain feedback on the launch of Medicaid Managed Care. Representatives from the Medicaid Managed Care Health Plans and the Enrollment Broker will be available. Register here.

Monday, August 26, 2019
7:30 a.m. Physician Session (physician assistants, nurses and practice office managers are also welcome)
10:30 a.m. Providers and Community Agencies Session (health care professionals and other interested individuals are encouraged to attend this session)

Guilford Technical Community College, Jamestown Campus

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Webinar on Transition to Tailored Plans

DHHS will host a webinar titled “Transitions in Medicaid Health Care” on August 20 from 1:15-2:15pm. The webinar will share information on North Carolina’s transition to Medicaid Managed Care, answer some common questions and explain what is happening in North Carolina, how it impacts beneficiaries, and who beneficiaries can contact for assistance. Register here.

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New Medicaid Resources for Providers

The NC Department of Health and Human Services has posted the NC Medicaid Provider Playbook, an online resource to assist providers in helping their Medicaid beneficiaries transition smoothly to Medicaid Managed Care. This new Provider Playbook is a collection of information and tools specifically tailored to providers.