Recording: Benchmarks' Friday Membership Webinar with

Karen McLeod and Dave Richard:

September 16, 2022

Benchmarks' Upcoming Webinars

Benchmarks' Membership Webinar with PHPs: WellCare

Date: Friday, October 7, 2022

Time: 8:30 am thru 9:30 am

New: Benchmarks' Child Welfare Webinar with Karen McLeod and Lisa Cauley

Date: Thursday, October 13, 2022

Time: 8:00 am thru 9:00 am

New: Benchmarks' Members: Medicaid Forum-Legislative Agenda Planning for 2023 Long Session

Date: Tuesday, October 18, 2022

Time: 9:00 am thru 10:30 am

New: Benchmarks' Members: Foster, Adoption, Residential (FAR) Webinar-Legislative Agenda Planning for 2023 Long Session

Date: Wednesday, October 19, 2022

Time: 9:00 am thru 10:30 am

New: Benchmarks' Friday Membership Webinar with Dave Richard and Karen McLeod

Date: Friday, October 21, 2022

Time: 8:30 am thru 9:30 am

Benchmarks' Collection of Past Updates

An Invitation to HOPE, North Carolina's Inclusive Housing Summit

As HOPE, NC works toward creating inclusive, affordable communities for people with disabilities, older adults and families, I wanted to personally invite you to our upcoming Inclusive Housing Summit scheduled for Thursday, November 10th at The Friday Center in Chapel Hill. We’re excited as it’s filling fast. HOPE, NC looks to you and DHHS for your forward thinking ideas regarding improving the quality of life for people with developmental disabilities in North Carolina.

We have two powerful keynote speakers new to North Carolina's disability landscape, Micaela Connery of The Kelsey in San Francisco, CA and Erik Carter, professor at Vanderbilt University in Nashville, TN. Both bring decades of experience and passion to the field of inclusive housing for people with disabilities, along with the importance of creating a sense of belonging for all residents in a community.

We would be most appreciative if you would consider sharing this information on the Inclusive Housing Summit with your colleagues and the DHHS interest list. Folks can learn more here.

2022 Ten-Day Postings for Submission to CMS

MCAC Virtual Meeting Materials -- Friday, September 16, 2022

New Edits and Automatic Status Updates for 340B Pharmacies Coming Soon to NCTracks

Providers currently self-report their 340B status as part of the provider enrollment/re-enrollment process. Effective Oct. 23, 2022, NCTracks will receive the Health Resources and Services Administration (HRSA) Provider File as the source of provider 340B status; providers will no longer need to self-attest during enrollment. NCTracks will receive this file quarterly. In addition, four new pharmacy claim edits will be added to NCTracks related to 340B processing:

The NC Division of Health Benefits (DHB) has recently published new

Medicaid Bulletin articles:

Providers are encouraged to review this information. All bulletin articles, including those related to COVID-19, are available on DHB's Medicaid Bulletin webpage.

September Pharmacy Newsletter Available

The latest Medicaid Pharmacy Newsletter, dated September 2022, is now available on the N.C. Medicaid website. In addition to the October 2022 checkwrite schedule, this edition of the newsletter includes the articles:

Influenza Vaccine and Reimbursement Guidelines for 2022-2023 for NC Medicaid and NC Health Choice
Procedures for Prior Authorization of palivizumab (Synagis®) for Respiratory Syncytial Virus Season 2022/2023
Pharmacy Point of Sale Process at Tailored Plan Launch

Providers are encouraged to review this important information. The 2022 Medicaid Pharmacy Newsletters can be viewed here.

ACL Awards New No Wrong Door Funding to 10 States

ACL announces new grants to 10 states to establish and strengthen a No Wrong Door (NWD) governance structure within the state. The award recipients include Alaska, California, Indiana, Missouri, North Carolina, New Hampshire, Nevada, South Carolina, Tennessee, and Texas. Total grant awards amount to $3.9 million over two years.

The NWD system vision includes national standards, tools, metrics, and best practices that all states can use to develop a single “high performing” access system to serve all populations who may need any long term services and supports (LTSS), regardless of payer. With the adoption of a NWD vision, each state has a single, coordinated statewide system where multiple agencies at the state and local level align to create a simplified process through which individuals and family caregivers can access unbiased information and one-on-one counseling on the options available in their communities.

The new NWD governance grantees will focus on strengthening the NWD governing body in their state, assessing individual caregiver access, and mapping this access from the state and individual family caregiver perspective.

Each state will seek to:

Establish and strengthen a NWD governing body and governance structure, comprised of representation from multiple state agencies and key stakeholders, responsible for coordinating the on-going development, implementation, financing, evaluation and continual improvement of the state's NWD system;
Assess and conduct analysis on individual and family caregiver access to LTSS by identifying key referral sources and gaps in services; and
Develop a plan to address identified challenges in access to LTSS within the NWD system.

Contact [email protected] with questions about the No Wrong Door governance awards.

Across the country, there are 574 federally recognized Native American tribes that have a government-to-government relationship with the United States. As sovereign nations, they have legal jurisdiction over their lands and citizens. However, until the passing of the Indian Child Welfare Act of 1978 (ICWA), the authority of Tribes to exercise their exclusive jurisdiction over their Native children in child custody proceedings was not recognized. ICWA established procedural guidelines for placement and removal protocols that mandate notice to Native families and Tribes in all pending child custody proceedings to prioritize family integrity and adhere to tribal sovereignty.

In recent years, ICWA has been a legal battleground between non-native families seeking to adopt native children and native families trying to keep children connected to their culture and communities. The current legal challenge to ICWA is headed to the Supreme Court, which could either reaffirm the constitutionality of the law acknowledging the special relationship between tribes and the federal government or strike it down as an unconstitutional “race-based” law in violation of equal protection and states’ rights.

Join the Field Center and the University of Pennsylvania Carey Law School for a virtual webinar series this fall exploring the history and future of ICWA and the potential implications of the Supreme Court case for native children, families, and tribal sovereignty.

Upcoming Events

New: Wednesday, September 21, 2022

NC Medicaid Substance Abuse Intensive Outpatient Program (SAIOP) Clinical Coverage Policy Update-Stakeholder Engagement: Download Draft Policy

Time: 10:00 am thru 11:00 am

Join Here

Wednesday, September 21, 2022

Competitive Integrated Employment Series

Time: 12:00 pm thru 1:00 pm

Join Here

New: Thursday, September 22, 2022

NC Medicaid Substance Abuse Intensive Outpatient Program (SAIOP) Clinical Coverage Policy Update-Stakeholder Engagement: Download Draft Policy

Time: 10:00 am thru 11:00 am

Join Here

New: Thursday, September 22, 2022

How will Medicaid's upcoming Tailored Plan (TP) rollout affect you and your family?

Time: 10:00 am thru 11:00 am

New: Thursday, September 22, 2022

Recovery Awareness

Time: 11:00 am thru 12:30 pm

New: Monday, September 26, 2022

Joint DMH/DD/SAS and DHB Monthly Consumer Webinar

Time: 2:00 pm thru 3:00 pm

Wednesday & Thursday, September 28 & 29, 2022

In-Person: Child and Family Team Training from the Family Perspective – Revised

Time: 9:00 am thru 4:00 pm

New: Wednesday, September 28, 2022

NC Medicaid Substance Abuse Comprehensive Outpatient Clinical Coverage Policy: Download Draft Policy

Time: 3:00 pm thru 4:00 pm

Join Here

Thursday, September 29, 2022

SUPPORTING FAMILIES: Back to School Q&A-Getting Ahead of Challenging Behavior

Time: 12:00 pm thru 1:00 pm

Thursday, September 29, 2022

How Using Contingency Management Can Support

Families Affected by Substance Use Disorders

Time: 1:30 pm thru 3:00 pm

Join Here

New: Thursday, September 29, 2022

Medicaid Managed Care-Meet the Health Plans & More

Time: 2:00 pm thru 4:00 pm

Join Here

New: Thursday, September 29, 2022

Round 3 NC AMH+/CMA Certification Overview

Time: 3:00 pm thru 4:00 pm

New: Friday, September 30, 2022

NC Medicaid Substance Abuse Comprehensive Outpatient Clinical Coverage Policy: Download Draft Policy

Time: 2:00 pm thru 3:00 pm

Join Here

Friday, October 7, 2022

Benchmarks' Membership Webinar with PHPs: WellCare

Time: 8:30 am thru 9:30 am

Tuesday, October 11, 2022

Leveraging Your EHR to Accommodate the “No Surprises Act”

Time: 1:00 pm thru 2:00 pm

New: Thursday, October 13, 2022

Benchmarks' Child Welfare Webinar with Lisa Cauley & Karen McLeod

Time: 8:30 am thru 9:30 am

New: Tuesday, October 18, 2022

Benchmarks' Members: Medicaid Forum-Legislative Agenda Planning for 2023 Long Session

Time: 9:00 am thru 10:30 am

New: Wednesday, October 19, 2022

Benchmarks' Members: Foster, Adoption, Residential (FAR) Webinar-Legislative Agenda Planning for 2023 Long Session

Time: 9:00 am thru 10:30 am

New: Thursday, October 20, 2022

Tailored Plan 101: Ready, Set, Launch Series

Time: 5:30 pm thru 6:45 pm

New: Friday, October 21, 2022

Benchmarks' Friday Membership Webinar with Karen McLeod & Dave Richard

Time: 9:00 am thru 10:30 am

Monday, October 24, 2022

North Carolina Medicare-Medicaid Integration: Advancing Whole-Person Care

Time: 12:00 pm thru 1:00 pm

New: Tuesday, October 25, 2022

Virtual PCS Stakeholder meeting

Time: 10:00 am thru 11:00 am

Tailored Care Management Educational Offerings

Ongoing Webinar Sessions and Trainings: Some are free, some require a fee, and some are for CMA organizations that have passed the desk review only.

NC AHEC has partnered with the NC Department of Health and Human Services and Division of Health Benefits to equip Tailored Care Management (TCM) candidates with the tools and knowledge to effectively provide care management services to North Carolina’s Tailored Plan beneficiaries through Continuing Professional Development (CPD) opportunities. Find a list of monthly offerings below and join us for one or for all!

See Full Catalog Here