NC Medicaid: January Tailored Care Management Provider Manual Updates

NC Medicaid has released updates to the January Tailored Care Management (TCM) Provider Manual. These updates aim to enhance clarity and provide flexibility for providers. Notable changes include:

• Clarification on Applicability of the Provider Manual to Tailored Plans / Local Management Entities/Managed Care Organizations (LME/MCOs)
• New Flexibility on Supervising Care Manager’s Role in Reviewing Care Plans/ISPs
• Revised Requirement on Timeframe to Complete the Care Management Comprehensive Assessment
• New Flexibility and Clarifications on the Process for Conducting the Care Management Comprehensive Assessment
• Clarification on Ability to Address Urgent Needs Prior to the Care Management Comprehensive Assessment
• Clarification on the Requirements for Reassessment
• Clarification on Care Manager’s Role in 1915(i) Care Coordination

The January Provider Manual update and summary of updates are available on the Tailored Care Management webpage under Provider Manual.