NCMS Morning Rounds 11-17-21

Happy Wednesday! Enjoy your NCMS Morning Rounds!

November 17, 2021

NCMS Board of Directors Convenes for Final Meeting of 2021

This past weekend, the NCMS Board of Directors held its last meeting of the year in Raleigh. The gathering kicked off with a Friday evening dinner shared with several members from the NC AMA Delegation. On Saturday, the business meeting featured:

  • A moment of silence to remember Past NCMS President John L. Reynolds, MD;
  • Presentation of a plaque to Philip M. Brown, Jr., MD (pictured on the left), from current NCMS President Michael J. Utecht, MD (right), commemorating Dr. Brown’s excellent service as the 167th NCMS President from 2020-2021;
  • The awarding of a Presidential Citation to Carolina Complete Health Network’s Tabatha Dixon (see story below);
  • The Board finalizing 2022 strategic objectives;
  • A debrief of the 2021 LEAD Health Care Conference;
  • A report from the NCMS Secretary-Treasurer.

The NCMS Board of Directors will reconvene in 2022 on the following dates:

  • January 15
  • March 19
  • May 13-15
  • July 16
  • October 16
  • November 5

If you have any policies or concerns that you would like the Board to address, please complete the Board input form here.

NCMS Recognizes A Champion for Better Health in Medicaid

At Saturday’s Board meeting, NCMS President Michael J. Utecht, MD, and Carolina Complete Health Network’s (CCHN) President and Chief Medical Officer Rachel D. Keever, MD, presented a citation to Tabatha Dixon, MSN, RN, CCM, CPC (pictured center) for her groundbreaking work as the Senior Director, Medical Policy and Corporate Connections for CCHN. In this role, Ms. Dixon has been responsible for design, construction, and implementation of broader and more meaningful clinical input for the medical policies to be used by the only provider-led entity among North Carolina’s Medicaid PHPs, Carolina Complete Health.

Ms. Dixon recruited and operated numerous clinical committees, comprised of practicing NC physicians, to guide the continuous examination and improvement of medical policies at Carolina Complete Health. This is a novel and central feature of the joint venture between the NCMS, Centene, and the North Carolina Community Health Center Association that distinguishes Carolina Complete Health as a provider-led entity. The medical community values Ms. Dixon’s contribution because it was challenging, controversial, and important. That work will continue, as Carolina Complete Health reaches to achieve the big goals of improved health, health equity, and lower cost, relying on the foundation created by Ms. Dixon.

Federal Enrollment Application Fee Increase for Year 2022

The federal fee for Medicaid enrollment has increased from $599 for calendar year (CY) 2021 to $631 for CY 2022.

NCTracks provides a record of federal fees and NC Enrollment fees by year so providers may note the updates. The Federal Fees & NC Enrollment Fees by Year spreadsheet can be found under Quick Links on the Provider Enrollment page.

The NC Division of Health Benefits (DHB) collects the federal fee as required under Section 6401(a) of the Affordable Care Act (ACA) detailing that the Secretary is to impose a fee on each “institutional provider of medical or other items or services and suppliers.” Based upon provisions of the ACA, this fee will vary from year-to-year based on adjustments made pursuant to the Consumer Price Index for Urban Areas (CPI-U).

The federal fee is required for the following:

  • Initial enrollment application
  • Re-enrollment application
  • Manage Change Request (MCR) to add a new site location
  • Re-verification application

This fee only applies to certain organizations. Please refer to the Provider Permission Matrix under Quick Links on the Provider Enrollment page to determine provider-specific enrollment requirements. For more information on the federal fee, see the Federal Fee and NC Application Fee FAQs. Additional information can also be found here.

In the News

8 Lingering Questions about the New COVID Pills from Merck and Pfizer, STAT, 11-15-21

Learning Opportunity 

Medical Ethics in Homeless Health Care during COVID-19, TODAY, Wednesday, November 17, 2:00-3:30 p.m. ET

Part of the Medical Ethics in a COVID Aware World: Listening Session Series

The National Health Care for the Homeless Council will host interactive listening sessions from November 17, 2021 to January 12, 2022 to discuss ethics in the COVID-19 era. Topics include vaccine hesitancy, emergency shelter facilities, clinical care, and trauma and moral injury.

Learn more and register here


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