AMH 104 Webinar - Roles and Responsibilities of Clinically Integrated Networks and Other Partners

Training is designed for Primary Care Providers interested in becoming Advanced Medical Homes in NC Medicaid Managed Care.

Other Partners

This webinar provides an in-depth look at the roles and responsibilities of Clinically Integrated Networks (CINs) and other partners. The state envisions that many AMHs with work with CINs/other partners in order to support their in-house care management functions, and this webinar will focus on how these arrangements might take shape and how AMHs can get the most use out of CINs/other partners.

We will review the areas where CINs/other partners may be able to provide support to AMHs, including augmenting staffing and providing care management, providing data management and analytic support, and facilitating contracting with PHPs. The presentation will conclude with several CIN “use cases” that will detail a few of the ways that Tier 3 practices may consider partnering and delegating responsibilities to a CIN/other partner in ways that best meet the specific needs of the practice and the Medicaid patients they serve.

To register for AMH 104 and for additional training and resources, please visit: https://medicaid.ncdhhs.gov/amh-training

AMH 103 Webinar - Accountability: Certification, Contracting and Oversight

Training is designed for Primary Care Providers interested in becoming Advanced Medical Homes in NC Medicaid Managed Care.

This webinar will provide an in-depth look at the accountability structures built into the program and provide a practical guide for practices in understanding roles and responsibilities under the Advanced Medical Home (AMH) program. We will provide an overview of North Carolina’s Medicaid Transformation and the AMH program, and describe how the State will hold Prepaid Health Plans (PHPs), AMHs, Clinically Integrated Networks (CINs) and other partners accountable and ensure that the program achieves its goals.

We will also review other program accountability structures, including the role the State’s AMH certification process plays in approving practices for participation as AMHs; how contracting will define responsibilities, payment amounts, and other terms and conditions between the State, PHPs, AMHs, and CINs; and processes the State, PHPs, and AMHs can use to oversee the ongoing functions of entities (including CINs) that have been designated specified AMH program requirements.

To register for AMH 103 and for additional training and resources, please visit: https://medicaid.ncdhhs.gov/amh-training

NC Medicaid is conducting a stakeholder webinar from 3:30 pm to 5:00 pm for beneficiaries, providers and caregivers to discuss Clinical Coverage Policies:

• 3G-1, Private Duty Nursing for Beneficiaries Age 21 and Older
• 3G-2, Private Duty Nursing for Beneficiaries Under 21 years of Age

Private Duty Nursing policies are available here.

Agenda:

•    Policy updates 
•    Program updates 
•    Program reminders
•    Q&A

Submit questions to Medicaid.HomeCareService@dhhs.nc.gov

Call in for all sessions: 510-365-3231; access code 863-376-408