Enjoy Thursday’s NCMS Morning Rounds.

July 22, 2021

Medicaid Managed Care Updates

Just a reminder that the latest NC Medicaid Bulletin has been issued and contains a variety of updates on issues around Medicaid managed care including non-emergency transportation for NC Medicaid Managed Care and the new prior authorizations required for substance use disorder prescriptions. The Bulletin also notes the deadline extension for completing the Health Equity Payment Survey. Read the latest on these and other Medicaid topics here.

The July 2021 Medicaid Pharmacy Newsletter also is now available and includes information on Medicaid managed care transferring prior approvals and pharmacy billing and contracting Information. Access the newsletter here.

As you are navigating the new Medicaid managed care landscape be sure to visit our Medicaid Transformation webpage. There you will find resources for each of the pre-paid health plans and links to the state’s information. If you have an issue that can’t be resolved by an individual plan or NC Medicaid, please complete our Medicaid Transformation Issues Form so we can track challenges and work to help address them for our members and their patients.

Dr. Tilson Honored by NC Institute of Medicine Board

The NC Institute of Medicine’s (NCIOM) Board of Directors recently honored fellow NCIOM Board member and State Health Director and Chief Medical Officer Betsey Tilson, MD, MPH for her ‘extraordinary efforts to protect the public’s health and prevent human suffering during the coronavirus pandemic of 2020-2021.’

Board Chair David Sousa, JD, Chief Operating Officer and General Counsel for Curi, presented Dr. Tilson with a plaque and stated the hope that “your great-great grandchildren, who’ve read about this crazy pandemic in their history books, will continue to display this as a testament to the legacy of excellence by you, in their family and in our state.”

Sousa expressed gratitude for Dr. Tilson’s tireless work to respond to the pandemic.

“There is no perfect pandemic response,” Sousa said in presenting Dr. Tilson with the plaque. “But there is courage, dedication and commitment, and you have shown these qualities and inspired them in others.”

Improving Outcomes for Ill, Injured Children

The presence of an individual with an interest in pediatric emergency care has been shown to significantly improve outcomes for ill and injured children. This Pediatric Emergency Care Coordinator Workforce Collaborative seeks to develop any health care professional working in the prehospital or emergency department systems into highly effective champions of pediatric readiness.

This collaborative invites interested health care professionals to participate a couple of hours a month to become highly effective champions of pediatric readiness and improve outcomes for ill and injured children.

Learn more about how you can become involved and register for this training here.

In the News

More Than 200 People in US Being Monitored for Possible Monkeypox Exposure, CDC Says, STAT, 7-20-21

Learning Opportunity

Join the NC Medical Group Management Association on Thursday, July 29 at 1 p.m. for a webinar on OSHA ETS Q & A Session with the NC Commissioner of Labor Josh Dobson.

This virtual event will address the impact of the OSHA ETS on medical practices. You may submit questions for Commissioner Dobson when you register. Learn more and register here.


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