The North Carolina Department of Health and Human Services Division of Health Benefits and North Carolina AHEC, in conjunction with the five Medicaid managed care standard plans, will host the 3rd Annual Virtual Statewide Quality Forum on Wednesday, August 9 from noon-1 p.m. The forum is designed to help providers, practice managers, and quality managers succeed with Medicaid Managed Care quality initiatives. Look for additional details, including how to register, soon.
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:
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:
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.
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.
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.
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.
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.
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.
Carolina Complete Health is committed to supporting your efforts to provide the highest quality care to our members. As a result, we are excited to announce that Carolina Complete Health launched a Continuity of Care (CoC) program effective February 2022. Providers who are assigned members with chronic conditions or suspected chronic conditions are invited to participate in this voluntary program.
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:
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
In Lieu of Services are alternative services or settings that are substituted for services or settings covered under Medicaid or NC Health Choice. This training will educate providers on Carolina Complete Health's three ILOS.
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.
This recorded session provides an overview on how to request PCS services, the assessment and authorization process, working with the EVV Vendor, plus Q&A!
Register and instantly view a Secure Provider Portal Training. Available on-demand now!
This training reviews:
Carolina Complete Health hosted information sessions with Trillium and Partners LME-MCOs.
PARTNERS HEALTH MANAGEMENT
TRILLIUM HEALTH RESOURCES
This training provides an overview of the Trillium and Carolina Complete Health partnership, contracting timelines, and the split-claims protocol for providers.
Additional resources shared during the webinar include: