Physicians and other mental health care providers have faced a myriad of problems in the areas that have made the transition. For those that have not transitioned, questions abound about the process and what to expect. A few of the problems that we have heard from NCMS members include:
- Blanket denials of service/non-payment for services previously reimbursed.
- Cumbersome re-credentialing requirements with 11 different LME/MCOs versus the previous single process with Medicaid.
- Over-flowing emergency departments because of a lack of local outpatient services.
- Back logs of patients at state mental health facilities.
NCMS is working with a coalition of partners to ensure that this transition has more predictability, more standardization across the different LME/MCOs, and less interruption of services to patients. We are working with legislators to identify additional oversight and assistance that can be provided to the LME/MCOs in order to support this policy change that the North Carolina General Assembly has determined will go forward.
It is important that we continue to hear from you through this transition to ensure that we are being proactive, not only at the North Carolina General Assembly, but also at the DMA. Please continue to reach out to our Government Affairs team with your concerns so that we can ensure that you are not only compensated for the vital work that you provide but that your services continue to be available to this fragile patient population. Please contact Amy Whited, Director of Health Policy at email@example.com or Conor Brockett, Associate General Counsel at firstname.lastname@example.org for assistance.