NCMS Morning Rounds 12-22-21

Happy Wednesday! Enjoy your NCMS Morning Rounds!

December 22, 2021

Message from NCMS EVP & CEO Chip Baggett

NCMS Holiday Schedule

Please note: the NCMS offices will be closed from Friday, December 24th through Friday, December 31st; we will reopen for regular business hours on Monday, January 3rd. We look forward to working with you in the new year!

Health Care Leadership and Management 2022 – Apply Now

The NCMS Foundation’s Kanof Institute for Physician Leadership (KIPL) has trained hundreds of physicians and PAs who now lead major health systems, their practices, and their communities. Through our award-winning leadership development courses like Leadership College and Health Care Leadership and Management, they were able to identify their individual style of leadership, hone their strengths and understand how to successfully navigate the complexities of today’s health care environment.

Take it from Yun Boylston, MD, who graduated from each of KIPL’s programs:
“Physician leaders need both microscopes and telescopes to deal with the challenges ahead. While KIPL can’t provide answers to all your challenges, it can provide thought tools to help you examine the issues. This is a time of uncertainty, but also great opportunity. How effectively we physicians choose to engage in these changes will determine our relevance and contributions to health care of the future.”

We are currently accepting applications for  Health Care Leadership and Management (HCLM) 2022. HCLM provides a critical framework for physicians based on economics, finance, and leadership development. With this framework, graduates are provided the necessary vocabulary for the business realm and are equipped to take on greater leadership positions in their career.

Learn more and apply here.

NC Medicaid Revising and/or End-Dating All Temporary COVID-19 Rate Increases

Effective Dec. 31, 2021, NC Medicaid will end several of the temporary COVID-19 rate increases. Some of the rate increases in effect in December 2021 will be extended – at either current or revised levels – through Jan. 31, 2022.

Learn more.

NC Medicaid Direct vs. Traditional Medicaid

The Department and Enrollment Broker have received numerous inquiries from NC Medicaid Direct beneficiaries being denied services, stating the provider does not accept NC Medicaid Direct. Please remember that NC Medicaid Direct is a new name for the traditional fee-for-service Medicaid program.

Approximately 700,000 beneficiaries remain in NC Medicaid Direct. Services rendered to beneficiaries in the NC Medicaid Direct program are billed through NCTracks using the same rules and processes known to providers prior to NC Medicaid Managed Care launch. For more information, see the Medicaid Transformation Fact Sheets.

In the News

Omicron is now the dominant COVID strain in the U.S., making up 73% of new infections, NPR, 12-20-21

Learning Opportunity

Medicaid Managed Care Webinar Series, every 3rd Thursday of the month from 5:30-6:30 PM

The Medicaid Managed Care webinars on the 1st and 3rd Thursday of the month are dedicated to bringing you late breaking information and guidance on NC Medicaid’s transition to Managed Care. Topics will vary, but each session will include an open question and answer period. Upcoming topics will include: pharmacy and durable medical equipment, behavioral health, transitions of care, specialized therapies, quality measures, network adequacy, provider directory, billing, incentive payments, clinical coverage policy updates, and more. Hosted by Shannon Dowler, MD, Chief Medical Officer of the NC Division of Health Benefits, and moderated by Hugh Tilson, Director of the NC AHEC Program.

*Please note the 1st Thursday webinars will return in March 2022.

January 20, 2022 | Medicaid Hot Topics
February 17, 2022 | Medicaid Hot Topics
March 17, 2022 | Medicaid Hot Topics

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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