NC Medicaid Transformation Resources for AHHC Members

Since discussion of North Carolina's Medicaid Transformation first began five years ago, AHHC staff has been following the developments every step of the way, from legislation to implementation, working proactively with managed care entities to educate them about our industry and the services provided through Home Care, Home Health and Hospice. Going forward, AHHC will assist members with the changes to Medicaid Managed Care, keeping them informed with a multi-pronged approach from managed care start up to contracting, networking, and payment. As an AHHC member benefit, we are here to help provide your agency with extensive resources and technical support as needed. We will be updating these resources as information becomes available to help guide our members through this process. So please check this page often: www.ahhcnc.org/ncmanagedcare
 


Managed Care Updates

  • NEW! The Medicaid Transformation rollout date pushed to Feb 1, 2020
  • NC Medicaid Fact Sheet
  • Key Contacts
  • Division of Health Benefits Information
  • Timelines
  • FAQ
Member Access

Upcoming Education

WEBINAR Maximizing Managed Care Organization (MCO) Collections
October 17, 2019 | 3:00pm-4:00pm
Click to Register
Presenter: Phil Feldman, Vice President, Revenue Management Solutions, Sandata Technologies
Providers struggle with Managed Care Organization (MCO) reimbursement during Managed Care transition and this can continue long afterward.  Thin margins in our industry magnify the impact of this.  Denials prevent timely and complete payment, impacting cash flow and resource requirements in the Revenue Cycle department.  The learning curve is often very difficult, especially when dealing with multiple payers with different systems and processes.  Appropriate up-front management of the Revenue Cycle can serve to minimize payer denials, thereby improving payment throughout and required "re-touches" to get claims paid, and minimizing write-offs. This webinar will help enable Home Care, Home Health and Hospice Agencies working with Managed Care to collect the highest percentage of billing from MCO's in the shortest timeline, through ensuring claims are as clean as possible, and follow-up is consistent and timely. 

What We Are Following

  • Challenges
  • Appeals
  • Managed Care in the News


Member Access

Contacts at AHHC


 

Tracy Colvard
VP of Government Relations
and Public Policy

tracy@ahhcnc.org


Kathie Smith,  BSN, RN
VP of State Relations, Home
& Community Based Care

kathie@ahhcnc.org