NCMS Morning Rounds 1-5-2022

Happy Wednesday! Enjoy your NCMS Morning Rounds

January 5, 2022


DiabetesFreeNC – Take the Pledge

More than 84 million Americans or 1 in 3 adults has prediabetes, and the majority of them don’t know they have it. Diabetes has reached epidemic proportions, and if prediabetes is left undetected and untreated, the progression to diabetes will continue to place a tremendous strain on physicians, clinical practices and health care costs associated with diabetes care and management. Through the statewide initiative in North Carolina to prevent type 2 diabetes called DiabetesFreeNC, physicians and care teams have an opportunity to support their patients with prediabetes with a free or low-cost, evidence-based National Diabetes Prevention Program.

Add your name to the growing list of North Carolina clinicians taking a stand against diabetes. Learn more and take the pledge.

Healthy Opportunities Pilot

The Healthy Opportunities Pilot is the nation’s first comprehensive program to test evidence-based, non-medical interventions designed to reduce costs and improve the health of Medicaid beneficiaries. The Pilots will provide up to $650 million in Medicaid funding for services related to housing, food, transportation, and interpersonal safety and toxic stress in three regions of the state.

Importantly, the Pilots will allow for the establishment and evaluation of a systemic approach to integrating and financing evidence-based, non-medical services into the delivery of health care. If shown to be effective after rigorous evaluation, the Department will look to systematically integrate Pilot services statewide through NC Medicaid Managed Care.

Learn more and apply to participate here.

Medical Office Specimen Collection

Medical office providers can be reimbursed for COVID-19 specimen collection using CPT code 99211 (ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT, TYPICALLY FIVE MINUTES) with modifier CR. CMS has approved the use of this code for new patients, as well as established patients, when used for specimen collection.

Learn more here.

In the News

CDC Recommends Pfizer Booster at 5 Months, Additional Primary Dose for Certain Immunocompromised Children, CDC, 1-4-22

Learning Opportunity

Tailored Care Management (TCM) Role in Serving Aging Members, Monday, February 14, 2022 9:00 AM – 11:00 AM

The first part of this program will provide an overview of the aging network, review resources available and discuss various services and care coordination considerations when working with the aging population. The second part will provide evidence-based health promotion programs to support adults aging in place.

Learn more and register here.


If you have policies you’d like your NCMS Board of Directors to consider, please complete the Board input form here. Thanks for reading!


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