Public Input Sought on DHHS Design for Medicaid Managed Care

The Department of Health and Human Services has released a detailed proposed program design for transforming the state Medicaid and NC Health Choice programs to managed care. DHHS issued its proposed program design to ensure stakeholders have an opportunity to comment on managed care specifics. Comments are being accepted through Sept. 8, 2017. Learn more.

Alpha Changes Must Be Reflected in NCTracks

Providers are reminded that any changes or additions in Alpha can not be approved and set up unless the change or addition is also reflected in the NCTracks system. This includes adding any clinicians or change of site information. Learn more.

Notice of Change Reminder

Providers should utilize the Notice of Change form located here to report any required changes or updates. This includes notification of your agency/practice ability to accept new referrals for services in your contract. This information assists with Alliance being aware of any changes and any impact this may have on the Provider Network.

 

 

Proposed Program Design for Medicaid Managed Care

The Department of Health and Human Services has released a detailed proposed program design for transforming the state Medicaid and NC Health Choice programs to managed care. DHHS issued its proposed program design to ensure stakeholders have an opportunity to comment on managed care specifics. Comments are being accepted through Sept. 8, 2017. To access additional information, including the link to the proposed program design, click here.

Use of Drop-Down Menu When Selecting Taxonomy

On August 1, 2017, Alliance began editing against taxonomy codes in the AlphaMCS claims system. When searching for the proper taxonomy, Providers can type/populate the field without selecting it from the drop-down menu. However, the information will not be entered in the field unless the taxonomy is selected through the drop-down menu. If the field is blank, the claim will deny. Please select the taxonomy from the drop-down menu to prevent denials.

Updates to First Responder QIP

Alliance has recently posted updates on its First Responder Quality Improvement Project (QIP). The First Responder Quality Improvement Project (QIP) is designed to test the quality and timeliness of a provider’s response to their consumer’s crisis situations, in the community if appropriate. For more information about the Alliance’s First Responder QIP, click here.

Housing Resources

Alliance maintains an active program of housing assistance for individuals who receive services we manage. Consumer access to housing supports is facilitated through their providers. We invite you to become familiar with the housing assistance options offered by Alliance and how to apply for them by visiting our Housing Resources webpage.

Consulting with Provider

State Covered Services for Medicaid Beneficiaries

Recently there has been confusion regarding State-funded services when consumers have Medicaid. Click here for important clarification regarding those services.

NC Tracks – Requirement for Fingerprint-Based Criminal Background Checks

On July 30, 2017, NCTracks will implement a federal requirement for providers designated as “high categorical risk” or any person with a five percent or more direct or indirect ownership interest in the organization to be fingerprinted. The requirement is retroactively effective for providers enrolled or re-credentialed on or after August 1, 2015. Learn More.

Accepted Taxonomies for Behavioral Health Services

Alliance has added a list of Accepted Taxonomies for Behavioral Health Services. You can find those in Finance and Claims Forms for Providers.