QIP Provider Recruitment

Alliance Behavioral Healthcare’s Quality Management Team is recruiting a representative from a provider with credentialed sites in Cumberland, Durham, Johnston, or Wake Counties to serve on a Project Advisory Team for a Quality Improvement Project, which is an organization-wide initiative to assess and improve processes and outcomes of health care services. DEADLINE IS NOVEMBER 30. Learn more.

Changes to Incident Reporting

DHHS Joint Communications Bulletin 272 requires providers to begin reporting allegations of staff abuse, neglect or exploitation as Level 3 Incidents effective December 4, 2017.

NCTracks and Manage Change Requests Submissions

To continue to help support the Provider Network with the Manage Change Requests that providers submit to NCTracks, Alliance can submit to DMA/DMH a log of MCRs that are over SIX weeks old to help address the timeliness of the requests. Alliance asks that providers submit spreadsheets no more than once per week following the directions below. Alliance will submit a compiled log weekly to DMA/DMH.

To submit Managed Change Requests for Routing to DMA/DMH, providers must submit a Managed Change Request to NCTracks. The request has to be outside of the SIX-week standard (at a minimum) that is outlined in the initial provider services correspondence to the provider from NCTracks. If the above information is met, then the provider should submit the details on this spreadsheet. ALL Fields must be completed or we cannot submit. Please email to Enrollment@AllianceBHC.org.

Revised Provider Operations Manual Posted for Review

The revised Alliance Provider Operations Manual has been posted for review. It becomes effective on December 16, 2017.

Alliance to be Part of New MCO Coalition

Leaders of three North Carolina managed care organizations (MCOs) have announced a new partnership to leverage their strengths and expertise in response to Medicaid reform. The coalition will unite the efforts of three high-performing MCOs – Alliance Behavioral Healthcare, Trillium Health Resources, and Vaya Health – to address significant, statewide health policy issues that impact North Carolinians across the state. Access more information in the press release and FAQs. Alliance CEO Rob Robinson plans to be in attendance at the upcoming APAC meeting on November 28 and the next All-Provider meeting on December 20 to talk with providers and answer questions.

New Pharmacy Page on Alliance Website

Medications can be a useful component of a comprehensive treatment plan for individuals experiencing a mental illness or substance use disorder, and Alliance is committed to offering information and technical assistance to help ensure that they are prescribed and administered safely and effectively. This new Alliance webpage offers resources for providers regarding medication policies and resources primarily impacting North Carolina Medicaid recipients, as well as uninsured consumers.

Important Insurance Information for LIPs in Solo Practice

To be in accordance with Alliance’s contract with the State, all contracted LIP solo entities will now be required to purchase and maintain Comprehensive General Liability insurance. Learn more.

 

Recovery Series Trainings

Join Alliance at one of our upcoming Recovery Series trainings. The Recovery Series is a diverse selection of workshops provided to the entire Alliance community that are recovery and self-determination orientated and encourages self-directed care in a way that impacts the overall health of our communities. To view Alliance’s trainings, visit Recovery University.

State-Covered Services for Medicaid Beneficiaries

A provider publication issued on August 1, 2017 detailed services that could NOT be covered should a consumer have a certain type of Medicaid coverage. Alliance is opening State services back up for one of the populations. The original memo stated that consumers with MAFDN, Medicaid Family Planning, and MQBBN/MQBEN/MQBQN, Qualified Medicare Beneficiary, in which Medicaid only pays for the Part B premium only, would NOT be covered by State services. Effective immediately, State services will be covered for individuals with MAFDN Medicaid coverage. This is in effect from October 17, 2017 forward. Retro-authorizations will not be granted. MQBBN/MQBEN/MQBQN, Qualified Medicare Beneficiary, in which Medicaid only pays for the Part B premium only, is still NOT eligible for State funds.