Network Update 17: 6/22/2012

Friday, June 22, 2012

CCNC in the News

  • Pediatric ACO wins $9 million “Innovations” grant from CMS. US DHHS has announced that CCNC is among 81 new recipients of Health Care Innovation Awards from CMS. CCNC and a coalition of North Carolina hospitals will provide care coordination through embedded specialty care managers in the offices of specialists and through "parent navigators" working with patients in their homes. The program will serve 50,000 Medicaid and CHIP children with chronic diseases with the aim of reducing avoidable emergency room visits, hospitalizations, and pharmacy costs, while improving access to care and quality of life for the children served.
    The broad coalition of North Carolina hospitals includes academic medical centers at Carolinas Medical Center-Charlotte, Duke University Health System, University of North Carolina Hospitals, Vidant Medical Center-East Carolina, and Wake Forest Baptist Health, and the children’s units at Cape Fear Valley Health, Cone Health, Mission Hospital, New Hanover Regional Medical Center, Presbyterian Healthcare, and WakeMed Hospitals. For more information see the Center for Medicare and Medicaid Innovation site.
  • Pregnancy Medical Home program profiled. CCNC’s Pregnancy Medical Home program was recently profiled in the North Carolina Health News, an online health publication. Congrats to PMH and on this report and its first year of operation.
  • North Carolina Medical Journal discusses behavioral care. Don’t miss an article co-authored by CCNC’s Mike Lancaster, MD, in the May 2012 issue of the North Carolina Medical Journal that chronicles efforts to integrate behavioral and primary care in North Carolina. The article is available on the NCMJ site.

Primary Care Physicians: Feedback needed on PCMH and Meaningful Use. CCNC, in cooperation with the NC Medical Society, the NC Academy of Family Physicians, the NC Pediatric Society, the NC Chapter, American College of Physicians, and the NC Obstetrical and Gynecological Society, is seeking feedback from primary care physicians in North Carolina regarding technical assistance available for Meaningful Use and Patient Centered Medical Home (PCMH) recognition. Please go here to complete this brief survey so that we can evaluate your needs and experience. The closing date to provide your feedback is July 6, 2012. For more information, please contact Paul Mahoney.

New PCMH Tools Posted. CCNC’s PCMH team has developed two new tools handy for practices pursuing PMCH 2011 recognition. The PCMH “Cheat Sheet” provides a quick overview of the policies and procedures that must in place to pass NCQA muster. The PCMH Scoring Spreadsheet is an Excel document that provides a quick tally of points earned toward PCMH recognition. Both tools are available on the PCMH 2011 page. Many thanks to David Cruz for developing these tools.

Medicaid bulletin highlights. There are quite a few items of note in the latest bulletins from DMA:

  • PA/NP billing. Requirements for PAs and NPs to bill under their own attending Medicaid provider number have been delayed. Providers may continue to bill “incident to,” but should begin the enrollment process.
  • Recredentialing. CSC has pre-populated a Recredentialing application for each provider with information currently on file. Providers have 30 days from receiving their invitation letter to verify this information. Visit the North Carolina Identity Management (NCID) Website to apply for a NCID password and then go to the NC Tracks Website to review provider information. Call CSC at 1-866-844-1113 with questions.
  • Electronic Health Records (EHR). Medicaid’s EHR Incentive Program makes payments available to eligible providers to promote adoption and meaningful use of EHR technology. N.C. Medicaid has paid Medicaid providers a total of $38.61 million as of May 14, 2012. Eligible providers are encouraged to participate. See this bulletin for more information. 
  • Online Health Information Technology training is available from the federal government Participants must enroll before October to take full advantage of the tuition assistance. For more information, go to the ONC website
  • 2012 Health Check Billing Guide (proposed clinical policies) is available online for review and comment until 6/28/12. Go here for Medicaid and here for NC Health Choice. 
  • Behavioral Health bulletin. See this bulletin for information about behavioral health services and to download CCNC’s forms for sharing information between the PCP and BH providers.
  • Do you refer recipients for Adult Care Home personal care services? If so, look for a special Medicaid bulletin in June that will explain a January 2012 implementation of a consolidated 1915(i) Home and Community Based Services (HCBS) Personal Assistance Services benefit.

For more details on these and other items, see the latest Medicaid bulletin. Providers can also stay up-to-date by subscribing to Medicaid email alerts..

Barrington graduates from REDI. Congrats to Community Care of the Lower Cape Fear’s Randy Barrington on his graduation from NC Rural Economic Development Institute. Randy, a Quality improvement Coordinator for CCLCF, took part in the intensive, three-month training program designed to improve participants' leadership skills and impart strategies to put those new skills into action. For more information, please see the news release from the N.C. Rural Economic Development Center.

Welcome new faces. Please welcome the following individuals joining the CCNC family in June:

  • Pregnancy Medical Home Program Analyst Jessica Phipps
  • Data Analyst Sarah Lesesne
  • Behavioral Health Program Analyst Kathleen Moran
  • ETL Programmer Christopher Agwu
  • NCHQA Program Evaluation Assistant Atha Cutler
  • Nursing Student/CCNC Call Center Intern Rebecca Farrington

Multiple Sclerosis Webinar coming up July 26. Don’t miss the webinar offered by the National Multiple Sclerosis Society that will discuss the psycho-social and cognitive challenges surrounding the disease. Treatment options and referral resources will also be discussed.The free webinar may be helpful for network staff managing individuals with this challenging condition. For more information or to register for the event, please go to the Healthtec Distance Learning Site.

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