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From: Whisnant, Leeanne   Sent: Wed, 25 Sep 2019 13:10:42 GMT
To: Stafford, Emily; Laurie Pishner; Wooten, Angela; bwalker@alexandercountync.gov
Subject: RE: PHP Provider Contracting Deadline November 15,2019

You are correct but we plan to contract with all 5 in our region, I am working on 2 more as I write but they are not completed as of yet.

 

Leeanne Whisnant,MS,BSN

Alexander County Health Director

338 1st Ave SW Taylorsville,NC 28681

828-632-9704 Ext. 405

www.AlexanderHealth.org

 

From: Stafford, Emily <estafford@alexandercountync.gov>
Sent: Tuesday, September 24, 2019 9:52 AM
To: Pishner, Laurie <lpishner@alexandercountync.gov>; Wooten, Angela <awooten@alexandercountync.gov>; Whisnant, Leeanne <lwhisnant@alexandercountync.gov>; Walker, Billie <bwalker@alexandercountync.gov>
Subject: RE: PHP Provider Contracting Deadline November 15,2019

 

We’re also working on one now for AmeriHealth. 

 

From: Pishner, Laurie
Sent: Tuesday, September 24, 2019 9:26 AM
To: Wooten, Angela <awooten@alexandercountync.gov>; Whisnant, Leeanne <lwhisnant@alexandercountync.gov>; Walker, Billie <bwalker@alexandercountync.gov>; Stafford, Emily <estafford@alexandercountync.gov>
Subject: FW: PHP Provider Contracting Deadline November 15,2019
Importance: High

 

Have we contracted with anyone?  I believe Leeanne you have given me and Angie copies of 2 insurance contracts this fy.  One was BCBS and the other was Wellcare Health Plan.  Is that the only 2 and was it for this?

thanks,
Laurie

 

 

Laurie Pishner, Accounting Specialist II/Accounting Supervisor

Alexander County Health Department

lpishner@alexandercountync.gov

828-352-7798  828-632-9008 -fax

 

 

From: Johnson, Brook [mailto:Brook.Johnson@dhhs.nc.gov]
Sent: Tuesday, September 24, 2019 9:21 AM
To: Alisa Corn; Amanda Ervin; Amanda Mashburn; Angie Sapoch; Wooten, Angela; bonnie Rollman; Carolyn Ashworth; Silvers, Christy; Cindy Walker; Debbie Perry; Diane Keener; Dottie Wilson; Stafford, Emily; Gail Moore; Ivy Payne; Jennifer Chilton; Jennifer Tate; K Kelly; Karen Morrow; Laura Petit; Leslie Campbell; Libby Clark; Paul Watson; Paula McClellan; REBECCA NICHOLSON; Renee Eller; Whitener, Rita; Sarah Klutz; Shannon Edwards; sonia Monteith; Jones, Steph; Suzane Smith; tammy.griffin@clevelandcounty.com; Tina Dotson; Wilma Henson; Angie Scott; Anna Martin; Becky Webb; Betty Mckinney; C Pazcoguin; Cathy Cheek; Cathy Nicholson; Christy Taylor; Cindy Bivens; Clarissa Ashe; David Badger; Deborah Woody; Emily Reid; Jaclyn Mathis; Jami Bently; Jason Williams; Jennifer Jarrett; Kathleen Combs; Pishner, Laurie; Lottie Barker; Martha Day; Matt Dotson-Smith; Michelle Haynes; missy estep; Nina Dula; Pam Gash; Rebecca McLeod; Sara Wilson; Sherry Buterbaugh; Sindie Sigmon; Stephanie Johnson; Tammy Keezer; Todd Bowman; Tracy Barrett; Angela Grant; BRANDY LANIER; Brenda Brown; Cathy Massino; Christianne Bryant Gardner; Clem Fuller; Danielle Jackson; Denise Cowan; Frances Elliott; Jennifer Thomas; Joelly Cochran; Kelly Davis; Kelly Joyner; Kim Prayer; Liz Gasca; Mamie Battle; Marjorie Whitley; Mary Barnes; Melissa Lamb; Michelle Mills; Paula Stanley; Randee McDonald; Samantha Smith; Sandy Cox; Shelia Sauls; Shirley Steele; Susie Teachey; Andrea R Freeman; Annette Swindell; Betty Shingleton; Billie Jo Dunn; bmcclure; Carolyn Reid; Clay Calhoun; Darlene Seegott; Dawn Jones; Denise Bell; Donna Romos; Erin Pippin; Ginger Midgett; Jamie Boone; Jennie Mason; ken.stern@waynegov.com; Marsha Hall; Melinda Bryant; Nicole Sutton; Penny Mayo; Rita Boone; Sara Graham; Sara Graves
Subject: PHP Provider Contracting Deadline November 15,2019

 

Please read attached regarding important deadlines you must meet regarding contracts with the 5 MCO’s in the state. 

Also, please provide me with information regarding how many of the MCO’s you have completed contracts with.  We appreciate your assistance with this data collection and anticipate hearing from all counties in the next few days. 

Thanks again.

 

 

Brook Johnson

Public Health Administrative Consultant

Division of Public Health, Local Technical Assistance and Training Branch

North Carolina Department of Health and Human Services

919-710-0133  mobile

Brook.johnson@dhhs.nc.gov

https://publichealth.nc.gov/lhd/

 

 

 

NCPH-3PMS-150-100x110-1

 

 

Email correspondence to and from this address is subject to the

North Carolina Public Records Law and may be disclosed to third parties.

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From: Rocco, Phyllis M <phyllis.rocco@dhhs.nc.gov>
Sent: Monday, September 23, 2019 5:37 PM
To: Johnson, Brook <Brook.Johnson@dhhs.nc.gov>; Brooks, Kathleen L <kathy.brooks@dhhs.nc.gov>; Smith, Samantha L <Samantha.Smith@dhhs.nc.gov>; Hemric, Carolynn M <Carolynn.Hemric@dhhs.nc.gov>; Conner, Lynn <lynn.conner@dhhs.nc.gov>; Langdon, Pamela <Pamela.Langdon@dhhs.nc.gov>; Wright, Rhonda P <Rhonda.Wright@dhhs.nc.gov>; Little, Susan H <susan.little@dhhs.nc.gov>
Subject: FW: [dph.section.chiefs] PHP Provider Contracting Deadline: November 15, 2019

 

ACs: Please send this to your email groups of Admin. Supers. In case they are not involved with the contracts and ask them to find out if their county has signed with all MCOs in their region. I will forward to nursing supers. Thank you. pmr

 

From: dph.section.chiefs-bounces@lists.ncmail.net <dph.section.chiefs-bounces@lists.ncmail.net> On Behalf Of Lovette, Beth
Sent: Monday, September 23, 2019 4:45 PM
To: NCDPH.LHDirectors@lists.ncmail.net
Cc: DHHS.dph.section.chiefs <dph.section.chiefs@lists.ncmail.net>; Schoenberger, Julia A <Julia.Schoenberger@dhhs.nc.gov>
Subject: [dph.section.chiefs] PHP Provider Contracting Deadline: November 15, 2019

 

Dear all,

I am forwarding this on behalf of Division of Health Benefits, in order to update you on a Managed Care deadline that impacts all Medicaid providers who want to continue to provide Medicaid services to beneficiaries enrolled in Medicaid Managed Care health plans. We have notified providers and provider stakeholders of this deadline.

For inclusion in auto-enrollment, provider PHP contracts must be signed and mailed to the health plan no later than Nov. 15, 2019.

As you know, North Carolina is transitioning its Medicaid program to managed care. Most beneficiaries will choose a health plan and a primary care provider (PCP). Those who do not make a choice will be auto-enrolled in a plan.

Medicaid has traditionally experienced high provider enrollment rates, which we want to continue. The November 15 deadline allows health plans to process provider contracts and ensure that providers can be paid. This typically takes at least two to three weeks, but it may take longer. Additional time is then needed to transmit information to the Department for inclusion in the auto-enrollment process.

Primary care providers who do not contract with health plans by November 15 risk losing patients, as health plans will enroll beneficiaries only with network providers. If a contract is not in place by Feb. 1, 2020, and the provider has not engaged in good faith negotiations, the provider is at risk for being reimbursed at 90% and subject to additional prior authorizations. 

Please direct providers who want more information on contracting with a health plan to contact the health plans directly. Contact information is available on the Medicaid website at https://medicaid.ncdhhs.gov/health-plan-contact-information.

Learn more. DHHS will host a webinar to update all Medicaid providers who want beneficiaries assigned to them as a PCP during auto-enrollment. NC Medicaid will convey information on the requirement that for inclusion in auto-enrollment, provider PHP contracts must be signed and mailed to the health plan(s) no later than Nov. 15, 2019. The webinar will take place Sept. 24, 2019, at 2:30 p.m. Register online at https://goto.webcasts.com/starthere.jsp?ei=1263648&tp_key=175f509062.

Thank you.


Beth

 

Beth Lovette, MPH, BSN, RN

Pronouns:  she, her, hers

Deputy Director

Section Chief, Administrative, Local  and Community Support

Division of Public Health   

NC Department of Health and Human Services

 

Office:  (919) 707-5001   

Mobile:  (919) 397-6238   

Fax:  (919) 870 4829   

beth.lovette@dhhs.nc.gov

 

5605 Six Forks Road, Building 3

1931 Mail Service Center

Raleigh, NC  27699-1931

 

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Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized State official. Unauthorized disclosure of juvenile, health, legally privileged, or otherwise confidential information, including confidential information relating to an ongoing State procurement effort, is prohibited by law. If you have received this email in error, please notify the sender immediately and delete all records of this email.