NCMS Morning Rounds 11-23-20

Welcome to a holiday week and your NCMS Morning Rounds.

November 23, 2020

NC Medicaid Managed Care Issues Contract Deadlines

Last week, the North Carolina Department of Health and Human Services (NCDHHS) issued contract deadlines for physicians and PAs to be included in open enrollment and auto-enrollment as part of North Carolina’s transition to Medicaid Managed Care.

Provider contracts must be signed and mailed to the health plan by:
Feb. 1, 2021, for inclusion in open enrollment, and
April 12, 2021, for inclusion in auto-enrollment.

During open enrollment for Medicaid Managed Care (March 15, 2021 through May 14, 2021), beneficiaries will choose a health plan and primary care provider. Those beneficiaries who do not make a choice will be auto-enrolled in a health plan (beginning May 15, 2021 and running for six days).

The provider contracting deadlines allow health plans to process provider contracts and ensure provider records are loaded correctly and transmitted to the Enrollment Broker. This typically takes at least two to three weeks, but it may take longer. Additional time is then needed to transmit information to NCDHHS for inclusion in the open enrollment and auto-enrollment processes.

For more information, please see the Provider and Health Plan Contract Deadlines for Inclusion in Open Enrollment and Auto-Enrollment Medicaid bulletin article.

Are You Ready for Medicaid Managed Care? NCDHHS Wants to Know

NCDHHS sent nearly 1,400 surveys to primary care practice managers throughout the state on Nov. 13 to gather information on how best to support those practices during the pandemic and through the transition to Medicaid managed care. The survey asks about difficulties referring patients to COVID-19 testing, concerns about the cold and flu season, use of telehealth, challenges connecting to NC HealthConnex, barriers to contracting with the Pre-paid Health Plans (PHPs) and need for protocols to address staffing in light of exposure to or positive tests for COVID-19.

If you already completed the survey, thank you! If you have yet to do so, please look in your emailbox around the Nov. 13 date for the message with the subject line, “NC DHHS Primary Care Preparedness Survey – COVID-19 and Medicaid Managed Care,” and please respond now.

NCMS Legislative Update

The NC House Select Committee on Community Relations, Law Enforcement and Justice, which is co-chaired by NCMS member Rep. Kristin Baker, MD, (R-Cabarrus), met last week. Committee members heard a presentation by Raleigh Chief of Police Cassandra Deck-Brown on her department’s proposed ACORNS special unit.

This program is aimed at assisting residents dealing with homelessness and mental health issues. The mission of the unit, an acronym for Addressing Crises through Outreach, Referrals, Networking and Service, is “to connect with individuals in crisis and provide them with the resources needed to meet their individual goals.”

The committee also reviewed several draft recommendations, but none were approved. Read the draft recommendations here.

The committee will meet again on Dec. 14 at 10 a.m.

Longtime NCMS Member Now NC Medical Board President

Longtime NCMS member and 2020 alumna of the Kanof Institute for Physician Leadership’s Health Care Leadership and Management (HCLM) program, Venkata Jonnalagadda, MD, FAPA, was sworn in as president of the NC Medical Board last week.

Dr. Jonnalagadda is a psychiatrist and Associate Chief of Staff for the Greenville Health Care Center, overseeing the eastern region of the state for the U.S. Department of Veterans Affairs – Durham. Dr. Jonnalagadda is a partner in private practice with Greenville Psychiatric Association, P.A. She also serves on the adjunct teaching faculty in the Department of Pediatrics at East Carolina University’s Brody School of Medicine. In addition, Dr. Jonnalagadda works as a clinical psychiatrist with the VA. She is board certified in child, adolescent and adult psychiatry and is a Fellow of the American Psychiatric Association.

Congratulations, Dr. Jonnalagadda!

In the News

Podcast: What Would Dr. Fauci Do?, Kaiser Health News, 11-19-20

‘Now is Not the Time to Mingle:’ UNC Lab Director Talks Thanksgiving Gathering Do’s and Don’ts Amid COVID-19 Surge, ABC-11, 11-17-20

Don’t Travel for Thanksgiving, CDC Warns, NPR, 11-19-20

Learning Opportunity

The University of North Carolina’s Vaping Prevention Resource and the Public Health Law Center will present a webinar ‘Changing the Game: A Playbook for E-cigarette Regulation at the State and Local Level’ on Thurs, Dec 10 at 1 p.m. The session will provide an overview of policies that states and local jurisdictions can adopt to regulate e-cigarettes; provide an overview of the new Policy Playbook for E-cigarettes and describe Santa Barbara, California’s implementation of several of these policies.  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!



More Posts in Uncategorized


Share this Post