Check out North Carolina Family Medicine's podcast to learn about resources, tools and incentives for practices achieving Advanced Medical Home Tier 3 status. This podcast episode features Nicole Cannady, SEAHEC Practice Support Coach with Carol Stanley, Medicaid Transformation Manager for the NC AHEC Practice Support Team.
They discuss tools that NC AHEC has available to help primary care practices achieve Advanced Medical Home (AMH) Status, the differences between a Tier 2 and a Tier 3 AMH, and what family medicine and other primary care practices should be doing now to prepare for Medicaid Managed Care in North Carolina. The two also discuss significant financial incentives for practices who achieve AMH Tier-3 status early, and how those incentives can impact your practice.
This episode is also available on popular podcast apps
If you would like to be referred for services from your local AHEC, please reach out to your Provider Engagement Coordinator and we are happy to assist in connecting you. You can also visit the NC AHEC Practice Support Webpage
Published by NC Child and the NC Institute of Medicine, North Carolina’s latest Child Health Report Card gives the state high marks for children’s health coverage, but also points out some troubling trends.
North Carolina earned failing grades in several key areas, including Mental Health, Substance Use, Birth Outcomes, and Housing & Economic Security. The data sources for this release pre-date the current pandemic and associated economic downturn. However, the report card also highlights current data snapshots pertinent to children’s health, and the impact of the pandemic on children and families.
“Even before the pandemic struck, we had a long way to go to improve health outcomes for North Carolina’s children - especially some of our biggest challenges, like ensuring healthy births for families of all races and economic means,” said Kathy Colville, President and CEO of the NC Institute of Medicine. “We know our state has made great strides in areas such as children’s health insurance coverage and childhood immunizations. We want to apply the successful approaches in those areas to the other health issues facing our kids and families.”
“Children have the best chance of thriving and living full lives when they have access to physical and mental health care, education, adequate nourishment, safe housing, and high-quality child care,” said Michelle Hughes, executive director of NC Child. “Our state’s leaders have a responsibility to make wise policy choices that support children and families at all times – and especially in times of crisis.”
As the state legislature convenes for the 2021 “long session,” policy-makers have several opportunities to address some critical points for children’s health in North Carolina highlighted in the Report Card.
Strengthening health coverage as a crucial part of North Carolina’s public health response to COVID-19. Expanding access to affordable health coverage - for adults and children alike - is important to children’s physical, mental, and emotional health. When parents are insured, they are better able to stay healthy and care for their children. Likewise, their children are more likely to have health insurance and to use it. Hundreds of thousands of North Carolina caregivers have lost the health coverage they previously received through their employers. Without health insurance, it can be nearly impossible for parents and caregivers to get health care when they need it. Affordable health coverage has also been proven to be an important bulwark against economic hardship for families.
Preventing long-term harm to kids by investing in the programs that are proven to insulate families against the harmful effects of poverty. Programs such as Medicaid, SNAP, WIC, and high-quality early childhood education are proven to boost school success and help keep kids healthy throughout their lives.
Expanding access to broadband internet. State legislators have an opportunity to get broadband internet to the estimated 200,000 homes with students in North Carolina that still have no internet access at home. Currently, these families don’t have the wi-fi access they need for their kids to attend class remotely. Without high-speed internet, families often cannot use telehealth services, search & apply for jobs, or apply for vital benefits like Medicaid or SNAP, particularly during the pandemic.
Burlington Pediatrics has been invited by the American Medical Association to present at its upcoming webinar, Overcoming Obstacles: Sustaining Behavioral Health Care in Your Practice, Feb 25th. The focus will be on the challenges and strategies related to integrating behavioral health in an independent practice.
Khadijia Tribié Reid, MD, MPH, FAAP, Pediatric Medical Director of MedNorth Health Center, is featured as the "Giving Voice" on episode 44 of the official podcast from the American Academy of Pediatrics, "Pediatrics on Call." Dr. Tribié Reid discusses how integrating physical and behavioral health has transformed patient care at MedNorth, an FQHC in downtown Wilmington. Specifically, she presents a case-study that is all too familiar to physicians today and how by screening for behavioral health conditions and Adverse Childhood Experiences (ACEs), as well as collaborating with in-house behavioral health clinicians, they are seeing improved patient outcomes.
"Giving Voice" is also available on popular podcast platforms.
If your practice would like more information about behavioral health integration, the ACEs screening, or resiliency training, please contact Jesse Hardin, Senior Provider Engagement Coordinator email@example.com
Featuring Karen Smith, MD and Michaela Latham
Join the North Carolina Medical Society as they discuss practice finances in the wake of the current Covid-19 Pandemic. Hear from rural medical business owner Dr. Karen Smith along with the practice’s Population Health Administrator, Michaela Latham, as they review the financial lessons learned through the Pandemic and how building financial resiliency is key to practice stability. This webinar will discuss the practical aspects of recovering from the costly impacts of Covid, and what is being done to build up their practice resiliency for a stronger, more stable future.
On July 1, 2022, the Department of Health and Human Services will launch the statewide Specialized Foster Care Plan. This specialized plan is intended to meet the unique needs of North Carolina children and youth currently and formerly involved in the child welfare system and to address receiving seamless, integrated, and coordinated health care.
The Foster Care Plan will integrate comprehensive physical and behavioral health services while maintaining treatment plans when placements change. This plan will also include care management services to improve coordination among service providers, families, involved entities (such as the Department of Social Services, Division of Juvenile Justice, schools) and other stakeholders involved in serving Foster Care Plan members.
To access the white paper on North Carolina's Specialized Foster Care Plan or to view a recent webinar providing an overview of this plan, visit the DHHS website for the Specialized Foster Care Plan
Governor Cooper has proclaimed February as Parenting Education Awareness Month for the state of North Carolina. NC has a plan to build a statewide home visiting and parenting education system. This model is proven to impact prenatal health & birth outcomes. Universally available, voluntary home visiting and parenting education programs can improve families' wellbeing and improve racial equity by providing families with the support needed to ensure children are safe and health. Smart Start of North Carolina is working to develop an action plan that will develop a comprehensive, statewide system encompassing both home visitng and parent education in North Carolina. To reach out to your local Smart Start, visit the Smart Start in Your Community directory.
NC AHEC is hosting a webinar dedicated to discussing the AMH Tier 3 Glide Path incentive opportunity!
Thursday, Feb. 11 | 5:30 p.m. – 6:30 p.m.
This series is designed to support practice managers, quality improvement professionals, care coordinators, and others within your practice who are responsible for meeting the NC Medicaid AMH Tier requirements.
For more information, please see Advanced Medical Home Tier 3 “Glidepath” Payments.
Be sure to join to learn more!
Hosted by Shannon Dowler, MD, Chief Medical Officer, NC Division of Health Benefits and moderated by Hugh Tilson, Director, NC AHEC Program. This month's fireside chat topic is all about quality! To register, visit the NC AHEC Website
Fireside chats take place on the first Thursday of ever month and cover a wide range of topics pertaining to Medicaid Managed Care. Future topics include:
The North Carolina Division of Public Health (DPH), in partnership with NC Area Health Education Centers (NCAHEC) and Community Care of North Carolina (CCNC), are providing grants to independent pediatric and family medicine practices to support interventions aimed at boosting compliance with scheduled immunizations and well-child care. Rates of childhood vaccinations have fallen sharply during the pandemic, leaving children and the adults around them vulnerable to preventable diseases. These grants are intended to provide additional resources to independent primary care practices working to address the problem.
Grants of up to $5,000 maximum per organization will be awarded upon successful completion of the intervention. In addition, practice support coaches from NC AHEC and CCNC will be available to assist in this effort.
Funds are limited and are distributed to accepted applicants on a first come, first serve basis, so you are encouraged to apply as soon as possible. Practices will be notified of approval within 1-2 weeks after submitting an application. Practices should then submit data reflecting the aggregate number of children served regardless of payor status, and provide W-9 documentation within two weeks of the completed intervention and no later than May 31, 2021. All required documentation should be sent to firstname.lastname@example.org in order to receive payment.
*All Medicaid Prepaid Health Plan (PHP) contracts signed prior to the delay will remain in effect unless otherwise specified or termed by the individual PHP or Provider. There is no need to request a new contract at this time if you obtained a fully executed contract prior to the delay
Contact CCHN, Your Provider-led Plan!
Your regional CCHN Provider Engagement Coordinators are also here for you!
Your provider engagement coordinator will be reaching out to schedule your provider orientation. Our goal is to customize this process to what works best for YOU and we would love your input! We invite you to complete this survey so we can gather a few of your preferences. Orientations will be conducted 90 days before go-live.
As North Carolina moves closer to implementing Medicaid managed care, the state has published additional information in its NC Medicaid Provider Playbook to help you make the transition. The move to managed care is set to ‘go live’ July 1.
One fast approaching date to keep in mind is Feb. 1, which is the deadline for you to contract with the pre-paid health plans (PHPs) if you want to be included in the open enrollment phase of the transition.
More information on contracting and the timeline are included in these updated parts of the playbook:
Please take a moment to complete the latest practice survey from NCMS, MGMA, and Curi. Watch your NCMS Morning Rounds for an upcoming summary of the trends they have tracked since last March to assess the needs and challenges facing medical practices throughout the state. This data helps to allocate resources as you navigate the COVID-19 pandemic and provide important points of information to state officials and policymakers.
NCDHHS launched an online portal for primary care providers to request reimbursement for COVID-19 related costs for individuals without insurance. Providers can go to the NCTracks secure portal to access the reimbursement portal.
Primary care providers can receive $150 for each in-person or telehealth visit of eligible COVID-19-related care for uninsured individuals living in North Carolina. To be eligible for reimbursement, providers must operate in North Carolina and be registered in NCTracks, North Carolina’s Medicaid provider payment platform. NCDHHS is reimbursing providers on a first-come, first-serve basis for up to $7.8 million in total support. Funds are available through December 30, 2020, or until they’ve been spent. Claims will be reimbursed retroactively to September 1, 2020.
Greensboro AHEC is launching an ECHO (Extension for Community Healthcare Outcomes) program to support practices to integrate behavioral health into the primary care medical home. Behavioral health integration is a central component to Medicaid Managed Care and successful integration requires a system of care transformation. For more information and to register, visit the course page.
This Fireside Chat series on the third Thursday of every month features topics related to clinical quality. This webinar focuses on behavioral health issues.
· Impact of COVID Pandemic on Mental Health – National perspectives and data
· Impact of COVID on Mental Health – State perspectives and data
· Update: Division of Health Benefits Policy Changes
· Innovative behavioral health models and “best practices”
Thursday, December 17, 2020
5:30 PM to 6:30 PM
Register in advance
North Carolina has a plan for COVID-19 vaccine distribution. Come learn more with Dr. Betsey Tilson and other experts. For a list of archived COVID webinars, visit NC AHEC
Initial shipments of the coronavirus vaccine will go to about 50 to 60 hospitals in the state, according to Dr. Mandy Cohen, Secretary of the NC Dept. of Health and Human Services. The Pfizer vaccine must be kept in special freezers at ultra-low temperatures before it is ready to use, and not all hospitals have them. To work, the vaccine needs to be administered twice, 21 days apart. North Carolina’s plan for vaccination includes inoculating frontline health-care workers, including those who clean around COVID-19 patients, and staff in emergency rooms. Next on the list are people who live and work in long-term care facilities. For the full article, visit the News Observer
DHHS will implement a new $8.51 PMPM payment stream to AMH Tier 3 practices 90 days prior to the launch of Managed Care to assist with and incent Tier 3 preparation. Payments will flow to practices in the same way as current CA II Payments. Qualifying practices will receive $8.51 PMPM direct from NC Tracks for each month in which they meet the conditions listed below, up to three times.
Tier 3 Glide Path Payment Eligibility Criteria:
1. AMH Tier 3 within NC Tracks
2. Contracting completed with at least two PHPs
3. Data exchange testing successfully completed with at least two PHPs
4. Practice has completed attestation in NC Tracks provider portal that items 2-3 complete.
DHHS will release additional details on the above criteria in early 2021.
For more information, feel free to contact your CCHN Provider Engagement Coordinator!
Beginning in December 2020, a new Medicaid Managed Care webinar series on the Advanced Medical Home (AMH) program will provide Medicaid primary care practice staff and clinicians with more information on North Carolina’s AMH model and how to function at the highest AMH Tier possible when Medicaid Managed Care goes live in July 2021.
Beginning December 10, 2020, a new Medicaid Managed Care webinar series from NC AHEC on the Advanced Medical Home (AMH) program will provide Medicaid primary care practice staff and clinicians with more information on North Carolina’s AMH model and how to function at the highest AMH Tier possible when Medicaid Managed Care goes live in July 2021. This webinar series will occur the second Thursday of each month beginning December 10th and continue through May. Register in advance for this series.
The North Carolina Department of Health and Human Services (NC DHHS) Division of Health Benefits and North Carolina AHEC continue to offer monthly webinars covering managed care and clinical quality topics. Hosted by Shannon Dowler, MD, Chief Medical Officer of the NC Division of Health Benefits, these take place on the first and third Thursday of each month
Register for the Medicaid Managed Care Topics- every first Thursday of the Month 5:30-6:30
Register for the Clinical Quality Topics – every third Thursday of the Month 5:30-6:30
Safety net organizations are facing increasing demand for access to services in communities across our state, not the least of which has been the current Novel Coronavirus pandemic. Safety net organizations have had to quickly adapt to the new environment to improve access and sustainability.
These grant funds, supported through the North Carolina General Assembly, are for assuring access to primary and preventive care to meet the health needs of our state’s most vulnerable populations. Strengthening the safety net through increased levels of collaboration and integration of services and organizations to more effectively sustain and meet the needs of those served is also an important purpose of this grant. Visit DHHS Grant Opportunities for more information and attend a technical assistance webinar listed below:
Technical Assistance Webinars (Interested applicants may attend any session at their convenience)
November 16, 2020 at 10:00 a.m. – Regions 4 and 6
Register in advance
Meeting number: 173 412 4222 Password: CHG2021
Join by phone
+1-415-655-0001 US Toll
Access code: 173 412 4222
November 16, 2020 at 2:00 p.m. – Regions 3 and 5
Register in advance
Meeting number: 173 813 2880 Password: CHG2021
Join by phone
+1-415-655-0001 US Toll
Access code: 173 813 2880
December 7, 2020 at 10:00 a.m. – Regions 1 and 2
Register in advance
Meeting number: 173 128 0770 Password: CHG2021
Join by phone
+1-415-655-0001 US Toll
Access code: 173 128 0770
The Advanced Medical Home Tier Attestation Tool, available on the NCTracks Secure Provider Portal Status and Management page has been modified. Providers may use this tool to downgrade from an AMH Tier 3 level provider to an AMH Tier 2 level provider. For more information, see the November 3rd Medicaid bulletin
DHHS has announced the launch of NC Medicaid’s managed care enrollment website, www.ncmedicaidplans.gov, in preparation for the launch of Medicaid Managed Care scheduled on July 1, 2021. Medicaid Managed Care open enrollment will begin March 15, 2021 and will continue through May 14, 2021.
It is extremely important for providers to act now and review their information is up to date and correct in NCTracks, both at the practitioner and organizational level. Accurate information will support beneficiaries in the new Provider & Health Plan Look-up tool, expected to launch January 1, 2021. For more information, view the September 25 Medicaid bulletin
Carolina Complete Health is proud to partner with the North Carolina Community Health Center Association (NCCHCA) on Medicaid transformation. Through this unique partnership, we will be able to bring provider-led solutions to improve the health North Carolinians. NCCHCA has their own podcast, NC Community HealthCast! They talk with Community Health Center (CHC) staff, patients, friends, and allies about everything important to the Federally Qualified Health Center and safety net world.
You can also find this on podcast on Google podcasts, Pandora, Apple, and more!
Tuesday, November 10, 2020 | 12:00 pm to 1:00 pm
Join NCMS Foundation for a webinar to review and discuss updates of the recently launched state-funded program, which is overseen by the North Carolina Medical Society Foundation and seeks to distribute grants to independent medical practices that have suffered financially due to the Covid-19 pandemic. Learn what the criteria are for applying and how your practice can benefit from the FRP.
Carolina Complete Health is proud to partner with the North Carolina Medical Society (NCMS) on Medicaid transformation. Through this unique partnership, we will be able to bring provider-led solutions to improve the health North Carolinians. The NCMS Foundation is proud to oversee the state-funded Financial Recovery Program (FRP) to assist eligible practices throughout the state that are experiencing economic distress due to the pandemic. Funding will be based on reimbursement for COVID-19-related expenses incurred between March 1 and November 30, 2020. The deadline to apply is November 30, 2020 with no exceptions. Visit the North Carolina Medical Society for more information.
Tuesday, November 10, 2020 | 12:00 pm to 1:00 pm
This webinar will review and discuss updates of the recently launched state-funded program, which is overseen by the North Carolina Medical Society Foundation and seeks to distribute grants to independent medical practices that have suffered financially due to the Covid-19 pandemic. Learn what the criteria are for applying and how your practice can benefit from the FRP.
This webinar is free but you must be registered to attend. Space is limited so register early:
Presented by the North Carolina Medical Society Foundation in cooperation with the North Carolina Medical Group Management Association.
NCCHCA has their own podcast, NC Community HealthCast! They talk with Community Health Center (CHC) staff, patients, friends, and allies about everything important to the Federally Qualified Health Center and safety net world.
All Medicaid Pre-paid Health Plan (PHP) contracts signed prior to the delay will remain in effect unless otherwise specified or termed by the individual PHP or Provider. There is no need to request a new contract at this time if you obtained a fully executed contract prior to the delay. For more information, visit the NC DHHS Provider Playbook.
Funding will be based on reimbursement for COVID-19-related expenses incurred between March 1 and November 30, 2020. Your practice is eligible if it falls in ALL of the following categories:
The deadline to apply for the Financial Recovery Program (FRP), is Nov. 30, 2020 with no exceptions. Apply for the FRP
Attend a FREE Financial Recovery Program Lunch & Learn Webinar at 12PM on Tuesday, October 13, 2020. Register in advance for this meeting
Even if you currently have an adequate supply of personal protective equipment (PPE), we encourage you to take advantage of the FREE PPE the NCMS is distributing to independent practices throughout the state. Be prepared for whatever the future may hold and stockpile this PPE. The deadline to order is Nov. 15. Learn more about this program and order today.
Suicide is the 10th leading cause of death in the United States.1 Current research identifies poor mental health and burnout as an epidemic for physicians and a public health crisis.2 According to The Council of Residency Directors in Emergency Medicine (CORD), “while estimates of the actual number of physician suicides vary, literature has shown that the relative risk for suicide being 2.27 times greater among women and 1.41 times higher among men versus the general population.”3
At Carolina Complete Health Network, we care deeply about your well-being. We are a proud subsidiary of the North Carolina Medical Society, who in 2016 advocated to change the way the NC Medical Board collected health information from renewing licensees. Beginning in 2017, the Board shifted their approach and no longer required physicians seeking renewal to disclose specific details, but rather, acknowledge a statement and agree to appropriately address their health conditions, including mental health and substance use.
Below you will find a collection of resources to promote well-being, including supportive options for mental health and substance use:
For two decades, September is used to observe healthy again practices. Carolyn Worthington, editor-in-chief of Healthy Aging® Magazine and executive director of Healthy Aging® says September is Healthy Aging® Month provides inspiration and practical ideas for adults, ages 45-plus, to improve their physical, mental, social and financial well-being.
Join the National Council for Behavioral Health’s Behavioral Health Training Institute (BHTI) for Health Officials and the Association of State and Territorial Health Officials (ASTHO) on Thursday, September 10 from 3-4 p.m. ET for “Avoiding COVID-19 Burnout: Self-care and Resiliency for Public Health Leaders.” Register in advance.
Under the direction of NC DHHS, NC AHEC and CCNC will support practices to increase well-child checks and immunization rates. NC has experienced a decline of care in these categories since the start of the COVID-19 pandemic. Read more information and access hands on support through CCNC and AHEC.
NC DHHS is working towards a state-wide roll out for Medicaid Managed Care on July 1, 2021. Stay current with NC DHHS updates on the Medicaid Transformation homepage.
The NCMS secured a $5 million grant from the NC General Assembly to distribute FREE PPE to independent practices in North Carolina. Visit NCMS for more information and instructions on how to access this free PPE.
For more than thirty years, National Health Center Week (August 9 – 15) has been celebrated to recognize the mission of America’s health centers. North Carolina health centers are a critical safety net provider for over half a million patients and embody the medical home model for our some of our most vulnerable community members. The theme for this year is: Lighting the Way for Healthier Communities Today and in the Future.
Carolina Complete Health is the only Medicaid plan in North Carolina led by doctors from the North Carolina Medical Society and the North Carolina Community Health Center Association.
Stop Unhealthy Alcohol Use Now (STUN) is a new initiative from NC AHEC supporting practices to implement evidence-based interventions such as screening and brief interventions for adult patients with unhealthy alcohol use.
We strongly encourage our CCHN practices to learn more. Please reach out to your CCHN Provider Engagement Coordinator so we can connect you with your AHEC Practice Support. If you have questions, you can also email NC AHEC directly at email@example.com.
The North Carolina Fetal Alcohol Prevention Program (FASDinNC) is partnering with Northwest AHEC to provide a four-part webinar series covering a range of topics surrounding FASD. This series will run for four consecutive Thursdays and includes state and national experts. The dates are: August 27th, September 3rd, September 10th, and September 17th.
Governor Roy Cooper announced that the NC Community Health Center Association (NCCHCA) is the third approved vendor to begin COVID testing in historically marginalized communities. NCCHCA will begin no-cost testing events throughout 23 zip codes. Visit the COVID-19 dashboard for an up to date list of community testing events.
Advancing patient and family engagement is shown to be an integral component of cultural inclusivity and health equity. NatioEnal Academy of Medicine (NAM) Leadership Consortium Culture & Inclusiveness Action Collaborative recently published a paper containing a framework for transformation.
Patient and family engagement is more critical during a public health crisis, however guidelines for physical distancing may inhibit the physical presence of family members during a visit. The Journal of Pain and Symptom Management recently published strategies on how to maintain family-centered care during the COVID-19 Pandemic.
Governor Roy Cooper signed into law SL 2020-88 which appropriates funds for the implementation of Medicaid Transformation. SL 2020-88 mandates capitated contracts being by July 1 2021, however, beneficiary enrollment can begin in a phased approach within a 5 month period after July 1.
Centene announced plans to break ground on its East Coast headquarters in Charlotte, North Carolina! Construction will begin in August on a campus that will bring 6,000 new jobs and invest $1 billion in the Charlotte community over time. Carolina Complete Health is part of the Centene Corporation, a diversified, multi-national Fortune 100 healthcare enterprise that focuses on government-sponsored programs for the under-insured and uninsured. Welcome to Charlotte, Centene!
July is Minority Mental Health Awareness Month. “Mental health conditions do not discriminate based on race, color, gender or identity. Anyone can experience the challenges of mental illness regardless of their background. However, background and identity can make access to mental health treatment much more difficult.” – National Alliance on Mental Illness (NAMI).
If your practice would like assistance and training on screening for mental illness please contact your provider engagement coordinator! Carolina Complete Health Network is dedicated to having a robust network of Behavioral Health Providers to support your patients.
NCCARE360 Now in All 100 Counties to Help North Carolina Respond to and Recover from COVID-19. “North Carolina has created the nation’s first statewide technology platform, NCCARE360, to coordinate whole-person care uniting traditional healthcare settings and organizations that address non-medical drivers of health, such as food, housing, transportation, employment and interpersonal safety.” Your CCHN Provider Engagement Coordinator is happy to arrange a practice training with an NCCARE360 Representative. Please contact us for help!
In honor of nurses everywhere, Carolina Complete Health Network put together a brief training offering a few skills from the Community Resiliency Model (CRM). CRM is a set of wellness skills that can help stabilize and reset the nervous system during times of stress. Last fall, Emory University published a study in Nursing Outlook demonstrating how CRM can help to promote nurse well-being. One year after just one 3 hour CRM training, nurses reported great sense of well-being, improved resiliency, and reduced secondary traumatic stress and physical symptoms.
Access Password: Nursesweek2020!