Education and Training

What: Claims support office hours for providers

When: Tues and Thurs / every 2nd and 3rd week of each month / 4 – 5 pm

Duration: For 8 months starting August 19, 2021

Provider must submit email for link to Zoom meeting to NCCH_Claims_NetworkOperations@carolinacompletehealth.com

Providers can submit questions in advance to NCCH_Claims_NetworkOperations@carolinacompletehealth.com

• 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

• 2021 Cultural Competency Training
• Slides (PDF)

• Attestation for Compliance Training
• General Compliance and Fraud, Waste and Abuse Training for Medical Providers Training (PDF)
• Medicaid Documentation for Medical Professionals (PDF)

Behavioral Health Utilization Management Training

On October 22nd, Carolina Complete Health Network hosted a Lunch and Learn for Behavioral Health Providers that reviewed the following:

• Provider Relations and Support
• Behavioral Health Clinical Trainings
• Requesting Behavioral Health (BH) Authorizations
  • Route of Submission
  • Needed Information
• Standard Plan versus Tailored Plan Services
  • Service Associated Request to Move Form

Watch the recording and view the slides (PDF)

Toolkits and 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.

• NC DHHS Provider Playbook: Training Courses

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