Enjoy your Thursday NCMS Morning Rounds.

July 15, 2021

Reminder – Get your Medicaid Transformation Questions Answered Tonight

NC Medicaid Managed Care Hot Topics Webinar: Managed Care Transition Highs and Lows Thursday, July 15, 5:30 PM

The Medicaid webinars on the first and third Thursday of each month are dedicated to bringing you late breaking information/guidance on NC Medicaid’s transition to NC Medicaid Managed Care. Topics will vary, but each session will include an open question and answer period.

Register here.

Power Hour: Transgender Health Equity

In our continuing effort to explore timely issues that impact you and your patients, our Power Hour tomorrow, Friday, July 16, at noon, will focus on transgender health equity.

Transgender individuals routinely face discrimination and high rates of violence and harassment as well as systemic barriers to full freedom and equality. Today, 40 states have pending or have passed anti-transgender legislation, including North Carolina.

Our session will focus specifically on health equity for the transgender population, which, studies show, often experience ignorance of and disregard for their health care needs. Insurance companies routinely deny payment for surgery and other services for transgender individuals.

Please join us as our expert panel will discuss these issues and how you can help as health care professionals.

Register for this enlightening session here.

Legislation Reinstates Previously Waived Requirements

Effective July 29, 2021, Session Law 2021-62 (NC Senate Bill 594), repeals portions of the 2020 COVID-19 Recovery Act that permitted the temporary lifting of certain enrollment requirements for health care professionals enrolling in NC Medicaid during the global health care emergency.

The Public Health Emergency/Disaster Relief Provider Enrollment Application, an option made available to providers in March 2020, allowed for the limited-time enrollment of those who rendered services to NC Medicaid beneficiaries during the COVID-19 global pandemic (not including clinicians who see NC Medicaid beneficiaries on a regular basis).

Effective July 29, 2021, disaster applications will no longer be accepted, and those who were enrolled in NC Medicaid with the disaster relief application will be terminated effective July 28, 2021.

Additionally, the NC Medicaid  enrollment criteria suspended for all health care professionals under House Bill 1043 will be required again effective July 29, 2021. Therefore, in-person  site visits and fingerprint-based criminal background checks will resume for physicians and PAs in accordance with the Provider Permission Matrix, located on the Provider Enrollment page of the NCTracks secure  portal.

Those who were enrolled under the waived site visit and fingerprinting requirements will be subject to full credentialing at a later date, yet to be determined, in order to continue participation in the NC Medicaid program. More details will be forthcoming.

In the News

Why Researchers Are Investigating Covid-19 ‘Outliers’, Advisory Board, 7-13-21

Learning Opportunity

Virtual Office Hours for For Those Who Accept Medicaid, THURSDAY, JULY 22 | 4-5 PM

Medicaid Transformation Provider Services and North Carolina AHEC are conducting a series of Virtual Office Hours for providers, which began  in March 2021. These sessions offer an interactive format for you to have your questions answered. You are encouraged to submit questions in advance to [email protected] for discussion. Virtual Office Hours will cover a range of Medicaid Managed Care topics.

Register here.


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