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NCPA News Archives

NCPA prints a quarterly newsletter titled NCPA News. See all the archived editions here.

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Membership Questions

The American Psychiatric Association and the NC Psychiatric Association have a dual membership requirement for General Members and Members-in-Training.  Members must join both organizations. We do our best to answer your questions about membership including dues relief, paying dues, awards, and more.

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What Psychiatrists Need to Know Archives

Each issue of the NCPA News print newsletter features a column, "What Psychiatrists Need to Know About..." The subject matter changes based on important updates and member concerns or questions. See all the archived columns here.

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Collaborative Care Education and Resource Guide

As of October 1, 2018, North Carolina primary care practices that provide collaborative care services can now bill Medicaid using the Psychiatric collaborative care management services codes (99492, 99493, 99494). Click here to view this announcement in an NC Medicaid Bulletin from September 2018.

This team-based care approach focuses on a new way to leverage psychiatrists and provide evidence-based management of behavioral health conditions in the primary care setting. In addition to improving access, clinical outcomes, and patient satisfaction, the Collaborative Care Model (CoCM) has also shown a return on investment (ROI) of 6:1. The CoCM’s ability to help manage Medicaid costs for behavioral health conditions and complement the state’s approach to whole-person care  make it an excellent option for North Carolina.

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NC Medicaid Transformation

In November 2019, NCDHHS announced that NC Medicaid Transformation efforts will be suspended. NC Medicaid will continue to operate under the current fee-for-service model administered by the department and nothing will change for Medicaid beneficiaries. Behavioral health services will continue to be provided by LME/MCOs. 

Background:

In 2015, the NC General Assembly directed the transition of Medicaid to a privatized managed care structure. For the first time in NC Medicaid history, we will have an integration of behavioral health and physical health reimbursement dollars. In February 2019, NC DHHS announced the four entities who have received contracts to participate as Prepaid Health Plans (PHPs) in Medicaid Managed Care:

  1. AmeriHealth Caritas North Carolina, Inc.
  2. Blue Cross and Blue Shield of North Carolina
  3. UnitedHealthcare of North Carolina, Inc.
  4. WellCare of North Carolina, Inc.

A regional contract for Regions 3 and 5 was awarded to Carolina Complete Health, Inc.

Please note, this procurement is for the Standard Plans, in which 1.6 million Medicaid Managed Care beneficiaries will be enrolled. Tailored Plans, designed for certain populations with more specialized behavioral health needs, will be procured later. Psychiatrists can and should enroll with both the Standard Plans and Tailored Plans.

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Integrated Care

Over the past decade, the integration of behavioral health and general medical services has been shown to improve patient outcomes, save money, and reduce stigma related to mental health. Significant research spanning three decades has identified one model – the Collaborative Care Model – in particular, as being effective and efficient in delivering integrated care.

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