NCMS Morning Rounds 3-9-21

Happy Tuesday! Here’s your NCMS Morning Rounds 

March 9, 2021

Take Note! Special Payments to Medicaid AMH Tier 3 Practices

Beginning April 1 as part of the state’s transition to Medicaid managed care, NC Medicaid will begin offering time-limited payments to practices that have attested as an Advanced Medical Home (AMH) Tier 3 if they can demonstrate successful readiness for AMH Tier 3 responsibilities.

The payments, called “AMH Tier 3 Glidepath Payments,” will be $8.51 per member, per month (PMPM), paid by NC Medicaid. This payment will be added onto existing Carolina Access Medical Home payments your practice currently receives. Payments will be based on the Medicaid population currently enrolled with your practice, even if not all current Medicaid members will be assigned to the practice after managed care launch on July 1, 2021.

These AMH Tier 3 Glidepath Payments are intended to provide an incentive for managed care launch readiness as well as provide funding to offset some of practices’ Tier 3 implementation costs. Payments will be available for the months of April, May and June 2021, only.

The functionality to attest to an AMH Tier 3 provider is now live in NCTracks. Practices must complete attestation by March 30, 2021 to be eligible for payments beginning in April, however, you will have additional opportunities to complete attestation and receive payments for May and June. For more information, visit Advanced Medical Home Tier 3 “Glidepath” Payments Update.

NC Council on Health Care Coverage Releases Guiding Principles

The NC Council on Health Care Coverage, a bipartisan group of legislators and representatives from a variety of business and health care sectors convened by Gov. Roy Cooper in December 2020, recently released its Guiding Principles. These principles are meant to aid the Governor and legislators in the ‘development, review and enactment of a successful plan to increase affordable, quality and comprehensive health care coverage for North Carolinians who currently do not have access to such coverage.’

Read the Guiding Principles here. You may also watch a 30-minute video media briefing on the Guiding Principles led by Mark McClellan, MD, PhD, Director of the Duke-Margolis Center for Health Policy.

NCMS Board of Directors member Merritt Seshul, MD and NCMS Executive Vice President an CEO Chip Baggett, JD, both participated on the council. The NCMS has long been committed to innovative initiatives and collaborative policymaking with the goal of increasing access to health care.

Learn more about the Council’s deliberations including a list of Council members, videos of each of its meetings along with supporting documents here.

Integrating Behavioral and Physical Help – What Works?

With much discussion at the state level about integrating behavioral and physical health, especially as North Carolina moves to Medicaid managed care, the AMA is partnering with seven leading physician organizations to launch the Behavioral Health Integration (BHI) Collaborative, a research study in 2021 to gather feedback and experiences from primary care and physician practices interested in integrating behavioral health care for their patients. Read more about the Collaborative here.

Physician-led primary care teams often must address many common mental health disorders, such as depression, anxiety and substance abuse. By bringing medical and behavioral health services together within primary care, the team is better able to meet both the mental and physical health needs of the patient.

The study will run through early April, and participation includes a 45-minute interview and completion of a series of online activities. Participation will allow practice representatives to share valuable feedback on resources that will ultimately help make integrating behavioral health care a feasible, standard practice in primary care, rather than an exception.

Learn more and respond to a series of screening questions to see if your practice qualifies, by clicking here.

In the News

A Universal Flu Vaccine? Study Suggests Protection Against Multiple Strains, Perhaps For Years, May Be Possible, USA Today, 3-4-21

Learning Opportunity

Provider Re-Credentialing/Re-Verification Refresher (Zoom), Monday, March 22, 2021, 10 – 11:30 a.m.
This course serves as a refresher for the steps taken by the provider to re-verify credentials and qualifications through NCTracks. At the end of this training, authorized users will be able to:
• Explain why provider re-verification is requested and what the process entails
• Complete the re-verification process in NCTracks
• Update owners and managing relationships if necessary while completing the re-verification application process

Meeting Information:
Follow the steps below for audio and visual access to the Zoom online training sessions:
1. Dial US Toll Free 833-568-8864
2. Enter meeting ID 160 117 9286#
3. Press the # key
4. Enter meeting passcode 6175526570#
5. From an internet browser, enter the URL

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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