Program Overview
Community Care of North Carolina (CCNC) (formerly known as Access II and III) is building community health networks organized and operated by community physicians, hospitals, health departments, and departments of social services. Community Care of Wake and Johnston Counties (CCWJC) is one of the 14 Community Care of North Carolina networks across the state. CCWJC focuses on population management for medically high cost and high risk Medicaid patients. Disease Specific Initiatives promote adherence to best practice guidelines for chronic diseases. Pharmacy Initiatives promote cost effective prescribing of medicines, patient adherence to medicines, and patient safety. Access to Primary Care Initiatives promote access to primary care and seek to limit non-emergent use of Emergency Departments. Case Management Services provide direct case management services to high risk, high cost patients and support to primary care practices.
Announcements:
CCNC receives Wellness Frontiers Award
Healthcare Coalition, US Senator Richard Burr recognize CCNC's innovative approach to improving quality and restraining costs. Click here to read.
NC Tracks: Are you on track for July 1? - http://www.ncmmis.ncdhhs.gov/communication.asp
NC Tracks is a multi-payer system that will facilitate provider enrollment and consolidate claims processing activities for multiple DHHS health plans. Providers enrolled in DMA, DPH and ORHCC health plans will submit claims for covered health care services.
For the general CCWJC Network information sheet, click here.
For "GO LIVE" information with provider checklist, click here.
For How to Register for Training, go to:
http://www.ncmmis.ncdhhs.gov/files/How to Register for Training.pdf
Upcoming ILT in Raleigh June 12-14th
For a Provider Instructor-Led Calendar of Training go to
http://www.ncmmis.ncdhhs.gov/files/updates/Provider_ILT_Training_Calendar.pdf
Medical Homes, Improved Care Save NC Medicaid Nearly $1 Billion
Last year the general assembly wanted to undertake an independent audit and review of the Community Care program. This review was to validate if the care coordination and medical home support the networks provide generates savings. The Milliman report has been released and as seen in the press release from Governor Perdue, Community Care has generated a great deal of savings.
Read the letter from the Office of the Governor here.
Provider Portal Demo: Click the link below to view the functions and value that the Provider Portal brings via this short video.
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