Education and Training
Upcoming Live Trainings and Events
We invite you to join us for Provider Office Hours. This recurring weekly meeting with Trillium leadership will provide you with resources and answers as you navigate the Tailored Plan process. We look forward to (virtually) meeting you.
Sessions will be held weekly (Wednesdays) from July 24, 2024 through August 14, 2024 from 12:00PM to 1:00PM.
Please note: These events are for contracted providers only.
Join Partners and Carolina Complete Health as we co-host an office hours open to Physical Health providers. We will share relevant information about trending hot topics and FAQs plus leave time to answer your questions!
IMPORTANT NOTE: Do not submit any questions with PHI or specific claim questions. This office hours intended to answer and provide guidance on general questions you may have.
Join Carolina Complete Health (CCH) and HHAeXchange (HHAX) for a Home Health Care Provider Office Hours! Office Hours launches April 25th at 11:00 AM and will be held every other week.
The goal for office hours is to:
- Share EVV program updates
- Review provider education and supports available
- Schedule 1:1 in-service time for your office
- Hear from providers on their questions regarding EVV
Note: Please do not submit or ask questions including PHI.
- We host New Provider Orientations monthly in addition to our on-demand recorded modules! We hold orientations on the first Tuesday of each month. Learn more and register in advance.
Payspan hosts monthly provider training sessions. Webinar Wednesday sessions are open to any provider and payer representative who would like to learn more about the provider experience on the payspanhealth.com portals.
What does the webinar cover?
How to:
- Register with Payspan (new user)
- Add additional registration codes to an existing Payspan account
- Navigate through the Payspan web portal
- View a payment
- Find a remit
- Access 835s
- Change bank account information
- Add new users
All Payspan webinars are hosted on the Fuze webinar application. Participants should join 10 minutes early to complete any required setup, which may include the Fuze app download.
For more information about the monthly Provider Portal Webinar, contact: providersupport@payspanhealth.com
Carolina Complete Health offers trainings for both behavioral health and physical health providers in our network at no cost. Our team provides mostly clinical, provider-focused education on topics that are geared towards improving member outcomes. The majority of our clinical trainings also offer behavioral health continuing education units also at no cost to the attendee. Trainings are completed via live/virtual instructor led webinars.
How to sign up for trainings:
- View the lists of all upcoming trainings: (both are open to all providers)
- Select the training date and time that you would like to attend
- Enter the required information and click “Register”
- You will receive a confirmation email with a link and instructions for joining the webinar.
NOTE: Please check your junk folder if you do not receive the confirmation email. - When you join the webinar, the call-in telephone number and an attendee passcode will be displayed.
Tailored Plan Provider Trainings
Partners and CCH Provider Information Session:
- EVVGuidelines
- HHAeXchange Vendor
- Soft/Hard LaunchJuly 1, 2024
- Workflow Process
- Code Crosswalk
- Provider Resources
This training covers utilization management and how to submit prior authorizations for Trillium Tailored Plan members.
Training Objectives:
- Claim Submission Protocol
- Submitting a Claim Related Issue for Review
- Behavioral Health Claim Submission via Portal
- Physical Health Claim Submissions via Portal
- Claim Resources
Partners and Carolina Complete Health hosted a provider training on 5/21/24 to review the following:
- Transition of Care Flexibilities
- Registering for the Partners Portal
- Submitting Claims
- Submitting Authorizations
- Provider Resources, and more!
Partners Health Management (Partners) and Carolina Complete Health Network (CCHN) hosted a physical health provider training to hear more about working with Tailored Plan members, as well as important changes for providers once Tailored Plans launch.
Neva Bartholomew, MD, MPH, Partners' Deputy Chief Medical Director for Physical Health shared information on the following topic areas:
- What is an LME/MCO and current services offered?
- Tailored Plan coverage map and what will happen when Tailored Plans launch
- Medicaid members that will be enrolled into Tailored Plan vs. remain in Medicaid Direct
- What does Tailored Plan Care Management look like?
- How do Tailored Plans affect providers and what to expect?
Additional Partners Health Management Resources:
Onboarding/Annual Trainings
NC DHHS established provider training criteria for the Tailored Plan, which must be made available for Tailored Plan Providers. Recognizing the importance of reducing the administrative burden, the following reciprocity agreement has been developed between Carolina Complete Health and our Tailored Plan partners; Trillium Health Resources and Partners Behavioral Health Management.
This training reciprocity agreement is inclusive of the following identified trainings enveloped within CCH New Provider Orientation:
- Early and Periodic Screening, Diagnostic and Treatment (EPSDT)
- Into the Mouths of Babes (IMB)
- Population Health (titles vary)
- Infection Prevention and Control
- Cultural Competency
Providing a cohesive approach to meet the NC DHHS criteria and ensure Providers are not burdened by duplicative trainings, this agreement will allow Providers to receive completion credit for the above trainings with either of Carolina Complete Health’s Tailored Plan partners.
- Part I: Streamlined Standard Plan PHP Orientation
- This streamlined orientation is brought to you through the collaboration and partnership of all five prepaid health plans. Representatives from all plans came together to identify the content that was duplicative through out each of the education decks, which was combined to create one streamlined orientation.
- Recording and Slides (PDF)
- Information may be subject to change. For the latest DHHS information, please visit the Provider Playbook
- Part II: Streamlined Carolina Complete Health Provider Education Presentation
- This streamlined Carolina Complete Health Provider Education Presentation will orient you to the need-to-know information as a Provider with Carolina Complete Health, your Provider-led Medicaid Plan!
- Streamlined Provider Education Presentation (PDF)
- Instructions for Attending a Live New Provider Orientation
- Access Recorded On-Demand Orientation Modules
- Please complete your attestation for New Provider Orientation
The Prepaid Health Plans, in collaboration with NC AHEC, streamlined the Cultural Competency training requirement for Providers. As a result, please view the following training that was created by the Department of Health and Human Services and endorsed by each PHP. You only need to view it once to meet the training requirement for each plan you are contracted with. Once complete, please kindly attest to your training by filling out this brief survey
The U.S. Department of Health and Human Services Office of Minority Health (OMH) offers guides, toolkits, and additional trainings through their website.
NC AHEC is developing a Diversity, Equity, and Inclusion curriculum
Medicaid offers its covered children and youth under age 21 a comprehensive benefit for preventive health and medical treatment. Carolina Complete Health adheres to and offers or arranges for the full scope of preventive and treatment services available within the federal EPSDT benefit. Preventive (wellness) services are offered without copays or other charges, per the periodic schedule established by the state of North Carolina. Early Periodic Screening services include physical exams, up to date health histories, developmental, behavioral and risk screens, vision, hearing and dental health screens and all vaccines recommended by the Advisory Committee on Immunization Practices.
- For more on EPSDT, view the Provider Manual (PDF) and our EPSDT Annual Training (PDF)
- We also have a module devoted to EPSDT from our on-demand New Provider Orientation: Module 14 EPSDT
- Upon review, please complete your attestation
PHPs, in collaboration with the State and each of the 8 tribes in North Carolina, developed a streamlined Provider Tribal Training. This is intended to provide information and to assist providers with cultural awareness and sensitivity when serving Native American tribal members. This training represents an updated map of tribal coverage in NC, as well as feedback from the aforementioned groups.
Training provided by Trillium Health Resources, in partnership with Carolina Complete Health.
- Infection Prevention and Control for Professionals (PDF) - December 15, 2022
Additional On-demand Trainings
This provider training educates Tier 3 Advanced Medical Homes on how the Care Manager Transformation (CMT) Team will support you with AMH oversight for care management delegation.
- An in-depth review of each of the AMH Quality Measures and how to navigate to Quality dashboards via the Secure Provider Portal
Behavioral Health Clinical Trainings
Carolina Complete Health offers trainings and toolkits for both behavioral health and physical health providers in our network at no cost. Our team provides mostly clinical, provider-focused education on topics that are geared towards improving member outcomes. The majority of our clinical trainings also offer behavioral health continuing education units also at no cost to the attendee. Trainings are completed via live/virtual instructor led webinars. Visit the Behavioral Health Resources page for more information and additional resources.
This provider training, held on July 27th, provides an overview of Behavioral Health Integration. We also spend time reviewing three evidence-based models of Integrated Care frequently used in Primary Care.
This training reviews information about utilization management criteria for Behavioral Health services with a special focus on Peer Support Services and Outpatient Behavioral health.
- Recording (3/14/23)
- Slides (PDF) (3/14/23)
- Q&A (PDF) (05/01/23)
- Q&A (PDF) (10/3/22)
Webinar objectives:
- Review provider quality initiatives and incentives for the Controlling High Blood Pressure (CBP) measure
- Provide information on the Blood Pressure Self Monitoring Program (BPSM)
- Share referral methods for BPSM.
The four-month YMCA BPSM program offers personal support for members to build skills that help them manage high blood pressure, notice and control triggers that raise blood pressure, and eat healthier. The program is available at no cost to Carolina Complete Health members age 18 years or older who have been diagnosed with high blood pressure. Participants cannot have had a recent cardiac event, have atrial fibrillation or other arrhythmias, or be at risk for lymphedema.
Target audience:
- Providers and clinical staff
- Practice management and administration
- Care managers and community health workers
Please view our Risk Adjustment and Continuity of Care page for provider training and resources.
In the YMCA's Diabetes Prevention Program, a trained Lifestyle Coach will introduce topics in a supportive, small group environment and encourage participants as they explore how healthy eating, physical activity and behavior changes can help reduce their risk for diabetes and benefit their overall health. The Diabetes Prevention Program is a recognized program by the Centers for Disease Control and Prevention and is available at no cost to qualifying Carolina Complete Health members.
This provider training will review:
- What is the Diabetes Prevention Program?
- Benefits of DPP and hearing from Physician Champions
- Eligibility Criteria and how to refer your patients
Additional Resources:
Provider System User Training will be provided via the HHAeXchange Learning Management System (LMS). Providers will have to log on the Learning Management System to complete their training to understand the use of the HHAeXchange Provider Portal along with its functionalities. For more information and training visit the HHAeXchange North Carolina PHP Provider Information Center
View a recording training with the HHAeXchange team for a discussion on the recent Home Health implementation for the North Carolina PHPs. There is a brief presentation detailing workflows for frequently asked questions, followed by a townhall style discussion with the HHAeXchange team. Key topics for discussion include:
- Placement without Authorization
- Service Code Bundles
- Service Code by PHP
- Capturing EVV in HHAeXchange and billing to the PHPs
This training deck walks through the additional benefits that are available for CCH members, including Value-Added Services, Non-Emergency Medical Transportation, and Interpretation Services.
The DHHS Person-Centered Planning (PCP) training is now live on UNC Behavioral Health Springboard’s website. The training can be accessed by going to bhs.unc.edu and clicking on Online Trainings. From there click on “From Theory to Practice: Person-Centered Planning in North Carolina”.