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Healthy Opportunities

WebThe Healthy Opportunities Pilot (HOP) is a new federally-funded program to help improve the overall health of Medicaid beneficiaries. The goal is to help people who are …

Actived: 9 days ago

URL: https://network.carolinacompletehealth.com/resources/healthy-opportunities.html

Outpatient Pharmacy Benefit

WebThree ways providers may submit Outpatient Pharmacy Requests: Cover My Meds Portal. Fax completed Prior Authorization Forms to 1-833-404-2393. Call the Prescriber Help …

Category:  Health Go Health

Over-the-Counter Benefit

WebIn addition to the over-the-counter medications covered at the pharmacy, Carolina Complete Health members also have access to our OTC Value-Added Service. Through the …

Category:  Health Go Health

Transportation Services

WebModivCare Support Numbers: 855-397-3601 : Member Reservations. 855-397-3604: Provider Transportation Line (Non-Emergency Ambulatory Transportation and other …

Category:  Health Go Health

About Us Carolina Complete Health Network

WebCarolina Complete Health Network was formed as a subsidiary of the NC Medical Society in partnership with the NC Community Health Center Association . Centene insures over …

Category:  Medical Go Health

Behavioral Health

WebBehavioral Health UM Prior Authorization Guidelines (PDF) For more information, visit our Prior Authorization Page. Please Note: When a person-centered plan (PCP) is required …

Category:  Health Go Health

Partners Health Management

WebAll four LME/MCOs will manage Tailored Plans across North Carolina with start date of July 1, 2024. The current BH services in Medicaid Direct will continue while adding the …

Category:  Health Go Health

Provider Resources Carolina Complete Health Network

WebCarolina Complete Health Quit for Life® Tobacco Cessation Program; NC Medicaid bulletin about the Standard and Tailored Plans Tobacco Free Policy Requirement; Trainings for …

Category:  Health Go Health

Manuals, Forms, and Guides

WebTo streamline processes for nursing facility admissions and the determination of long-term care financial eligibility, NC Medicaid created a new standardized PHP …

Category:  Health Go Health

Physician Administered Drug Program (PDP)

WebThe Physician Administered Drug Program (PDP) covers certain medications that are purchased and administered by a medical professional in office or in an outpatient clinic …

Category:  Medical Go Health

Provider Updates

WebThe member, or you and the member together, can contact Member Services at 1-833-552-3876 to update or change the PCP.

Category:  Health Go Health

Continuity of Care Training

WebSubmitting Documentation: Method 2. Print the Appointment Agenda from the CoC dashboard on the Secure Provider Portal. Sign, date, and submit the completed …

Category:  Health Go Health

Clinical Policies

WebClinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are …

Category:  Health Go Health

Prior Authorization

WebFor Pharmacy Prior Authorization forms, please visit our Pharmacy page. Fax Number Reference Guide. 833-238-7690. Carolina Complete Health Medicaid Face Sheets. 833 …

Category:  Health Go Health

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