North Carolina Healthy Blue Transition Of Care

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At-home Medical Care to Transition from Landmark Health - Bl…

(2 days ago) People also askWhat is the NCDHHS transition of care policy?Consistent with federal requirements and NC Medicaid’s vision to ensure continuity of care for members transitioning between prepaid health plans (PHPs) or service delivery systems, NC Medicaid has released the NCDHHS Transition of Care Policy.Transition of Care NC Medicaid - NCDHHSmedicaid.ncdhhs.govWhat is a healthy Blue Medicaid plan?Our Medicaid plan is called Healthy Blue. The remaining Medicaid beneficiaries will stay in fee-for-service because it provides services that meet specific needs for beneficiaries. This is called NC Medicaid Direct. These populations will transition to managed care at later dates. Estimate as of February 2021.August 2021 Overview of Medicaid with Healthy Blue and Medicare bluecrossnc.comWill NC DHHS transition from fee-for-service to managed care?In 2015, the North Carolina General Assembly enacted Session Law 2015-245, directing NC DHHS to transition North Carolina Medicaid and NC Health Choice from fee-for-service to managed care. First to transition were approximately 1.6 million of the current 2.3 million* Medicaid beneficiaries who are on the standard plan.August 2021 Overview of Medicaid with Healthy Blue and Medicare bluecrossnc.comWhat is healthy Blue & Medicare?Healthy Blue + Medicare is a Dual-Eligible Special Needs Plan (D-SNP) for people who are eligible for both Medicare and Medicaid. In 2015, the North Carolina General Assembly enacted Session Law 2015-245, directing NC DHHS to transition North Carolina Medicaid and NC Health Choice from fee-for-service to managed care.August 2021 Overview of Medicaid with Healthy Blue and Medicare bluecrossnc.comFeedbackHealthy Blue of North Carolinahttps://www.healthybluenc.com/north-carolina/Medicaid Benefits Healthy Blue of North CarolinaChoose Healthy Blue For The Health Care You Need.You have a choice in your health care. We provide benefits that keep you in mind, plus extra benefits to help you live a healthier life. Choose Healthy Blue. See more

https://www.bluecrossnc.com/providers/provider-news/2022/home-medical-care-transition-landmark-health-concertocare#:~:text=Effective%20October%201%2C%202022%2C%20Blue%20Cross%20and%20Blue,with%20Landmark%20Health%20by%20the%20end%20of%202022.

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Care Management Healthy Blue of North Carolina

(2 days ago) WEBIf you’re a new Healthy Blue member, expect a call from someone on our team to get you started with care management. You can also call us toll free at 1-844-594-5070 (TTY …

https://www.healthybluenc.com/north-carolina/benefits/medicaid-benefits/care-management.html

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Transition of Care NC Medicaid

(9 days ago) WEBTransition of Care Policy. Consistent with federal requirements and NC Medicaid’s vision to ensure continuity of care for members transitioning between …

https://medicaid.ncdhhs.gov/care-management/transition-care

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Transition of Care Policy - NC

(2 days ago) WEBNorth Carolina Department of Health and Human Services February 25, 2021 . February 25, 2021 NC DHHS Transition of Care Policy Transition of Care …

https://files.nc.gov/ncdma/documents/Transformation/caremanagement/NCDHHS-Transition-of-Care-Policy-20210225.pdf

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Fact Sheet Transition of Care - NC Medicaid

(1 days ago) WEBCare: A Fact Sheet for Members The North Carolina Medicaid program is transforming the way most people receive Medicaid or NC Health Choice services. This process is often …

https://medicaid.ncdhhs.gov/documents/reports/transformation/caremanagement/toc-navigating-north-carolina-s-transition-nc-medicaid-0/download

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Transformation NC Medicaid

(2 days ago) WEBProviders. Starting July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services in a new way. Called "NC Medicaid Managed Care," beneficiaries …

https://medicaid.ncdhhs.gov/transformation

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August 2021 Overview of Medicaid with Healthy Blue and …

(1 days ago) WEBMedicaid Managed Care Healthy Blue In 2015, the North Carolina General Assembly enacted Session Law 2015-245, directing NC DHHS to transition North Carolina …

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-programs/blue-medicare/healthy-blue-healthy-blue-medicare-comparison.pdf

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Long-Term Services and Supports

(7 days ago) WEBBlue Cross and Blue Shield of North Carolina (Blue Cross NC) will work to ensure a seamless transition for new Healthy Blue members to receive necessary services …

https://provider.healthybluenc.com/docs/gpp/HBNC_HBTC_LTSSProviderTrainingDeck.pdf?v=202106141903

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NC Medicaid Process Transitioning to Managed Care

(3 days ago) WEBFor additional information residents can visit NCMedicaidPlans.gov or contact the Enrollment Call Center at 833-870-5500. The North Carolina Department of Health and …

https://www.smartstartofmeck.org/news/2021-04/nc-medicaid-process-transitioning-managed-care/

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HEDIS Measurement Year 2023 Documentation for Transitions …

(2 days ago) WEBBlue Shield of North Carolina (Blue Cross NC) is an independent licensee of the Blue Cross Blue Shield Association. All other marks are the property of their respective …

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-programs/blue-medicare/dsnp-hedis-2023-documentation-transitions-care.pdf

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Patients, providers wait to see how Medicaid managed care goes

(6 days ago) WEBFive companies were chosen to provide managed care services to the state’s beneficiaries: AmeriHealth Caritas North Carolina. Blue Cross Blue Shield of North …

https://www.northcarolinahealthnews.org/2021/07/02/nc-managed-care-medicaid-launches-providers-patients-wait-to-see/

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The good and the bad of the managed care transition NC Health …

(8 days ago) WEBBy Clarissa Donnelly-DeRoven. North Carolina’s transition to managed care hasn’t yet proved to be the disaster some feared, nor the panacea others hoped …

https://www.northcarolinahealthnews.org/2022/03/01/survey-finds-care-management-plays-promising-role-in-medicaid-transition-but-administrative-burdens-remain/

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Legislative/Policy Change: Health Choice Transition to Medicaid

(1 days ago) WEBthe Blue Cross and Blue Shield Association. All other marks are the property of their respective owners. NCHB-CD-017321-23 January 2023 Legislative/Policy Change: …

https://provider.healthybluenc.com/docs/gpp/NC_CAID_LegislativePolicyChangeHealthChoiceTrans.pdf?v=202301261455

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NC Medicaid Health Plans Join NCCARE360 to Improve Delivery of

(1 days ago) WEBThe North Carolina Department of Health and Human Services today announced the state’s five Medicaid prepaid health plans have joined NCCARE360 — …

https://www.ncdhhs.gov/news/press-releases/2021/07/19/nc-medicaid-health-plans-join-nccare360-improve-delivery-coordinated-medical-and-non-medical-care

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Almost 1.5 million consumers have been moved to state’s …

(4 days ago) WEBAmeriHealth Caritas North Carolina; Blue Cross and Blue Shield of North Carolina; UnitedHealthcare of North Carolina; WellCare of North Carolina; Carolina …

https://www.northcarolinahealthnews.org/2021/06/04/almost-1-5-million-consumers-have-been-moved-to-nc-medicaids-managed-care-now-what/

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Community Partners: NC Medicaid’s Transition to Managed …

(4 days ago) WEBOur Mission: To transform the health of the community, one person at a time. Doctor-Led Medicaid Managed Care Plan in Regions 3, 4 and 5. Member Services – …

https://medicaid.ncdhhs.gov/community-partners-nc-medicaids-transition-managed-care-after-launch-presentation/open

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At-home Medical Care to Transition from Landmark Health

(4 days ago) WEBEffective October 1, 2022, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will begin transitioning at-home medical care of Medicare Advantage …

https://www.bluecrossnc.com/providers/provider-news/2022/home-medical-care-transition-landmark-health-concertocare

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Long-Term Services and Supports

(3 days ago) WEBHealthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue …

https://provider.healthybluenc.com/docs/inline/NCNC_CAID_Training_LTSSProviderOrientation.pdf

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Find a Doctor Healthy Blue of North Carolina

(8 days ago) WEBTo find a provider in the Healthy Blue network, click the search for a provider button below or contact Member Services at 844-594-5070 or TTY 711. Use our search tool below to …

https://www.healthybluenc.com/north-carolina/care/find-a-doctor.html

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Significant Cost Savings Realized as Healthy Opportunities Pilots …

(8 days ago) WEBThe program addresses non-medical drivers of health and has been described as a “life changer” for thousands of North Carolina families. It covers the cost …

https://www.ncdhhs.gov/blog/2024/05/21/significant-cost-savings-realized-healthy-opportunities-pilots-reach-two-year-anniversary

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Care management and medical necessity Providers Blue Cross NC

(3 days ago) WEBThe Blue Cross NC Care Management Department works with physicians and members to facilitate the most medically appropriate, cost-effective, quality care for our members. By …

https://www.bluecrossnc.com/providers/prior-authorization/care-management

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First Look at 2025 North Carolina Health Care Opportunities

(2 days ago) WEBBy: Joy Heath. North Carolina’s Healthcare Planning Section has provided a first look at the opportunities for new health care development across our State. The …

https://www.williamsmullen.com/insights/news/legal-news/first-look-2025-north-carolina-health-care-opportunities

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"Road map" for more care for people with disabilities NC Health …

(3 days ago) WEBHawkins described the proposed legislation as a “road map” for how to meet long-standing needs highlighted by North Carolina residents with intellectual and …

https://www.northcarolinahealthnews.org/2024/05/31/road-map-for-more-care-people-disabilities-bipartisan-support/

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Prepaid Health Plan Flexibility for Prior Authorizations During First

(3 days ago) WEBNote: This bulletin replaces the July 1, 2021 bulletin Hospital Procedure Continuity at NC Medicaid Managed Care Launch. NCDHHS continued to receive …

https://medicaid.ncdhhs.gov/blog/2021/07/07/prepaid-health-plan-flexibility-prior-authorizations-during-first-60-days-after-managed-care-launch

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South Carolina governor signs ban on gender-affirming care for

(7 days ago) WEBCOLUMBIA, S.C. — South Carolina Gov. Henry McMaster on Tuesday signed into law a ban on gender-affirming care for transgender minors. When the ink …

https://www.nbcnews.com/nbc-out/out-politics-and-policy/south-carolina-governor-signs-ban-gender-affirming-care-transgender-mi-rcna153382

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