pcb-01-26-21-issue-52

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JANUARY 26, 2021 | COMMUNICATION BULLETIN ISSUE 52 IN THIS ISSUE: Continuation of Funding for Non-Medicaid Funded ACTT and CST | Medicaid and NC Health Choice Provider and Health Plan Lookup Tool | Group 3 Vaccinations: N.C. DHHS Deeper Dive

Continuation of Funding for Non-Medicaid Funded ACTT and CST Vaya will continue to allow utilization of Non-Medicaid/State funds for Assertive Community Treatment (ACT) and Community Support Team (CST) through June 30, 2021 to better support uninsured members. For providers without a capitated contract, this limited benefit will continue to require prior authorization and will be paid on a fee-for-service basis. If your organization currently has a capitated contract with Vaya, we will be reaching out to them to discuss the terms of this extension. If you experience any difficulty in submitting SARs or with ACTT or CST claims, please notify your assigned provider network manager. If you have any questions, please contact your provider network manager or email provider.Info@vayahealth.com.

Medicaid and NC Health Choice Provider and Health Plan Lookup Tool The Medicaid and NC Health Choice Provider and Health Plan Lookup Tool is now available to the public and can be found by clicking here. The provider directory contains all active Medicaid and NC Health Choice providers, including primary care providers, specialists, hospitals and organizations. Providers are encouraged to use this tool to confirm the availability and accuracy of information contained in their NCTracks provider enrollment record. The authenticated portal will be available to beneficiaries beginning March 1, 2021.

COVID-19 NEWS AND UPDATES Group 3 Vaccinations: N.C. DHHS Deeper Dive N.C. DHHS has released additional information regarding vaccinations for Group 3 (Frontline Essential Workers) with the goal of protecting these essential workers who are at high risk of exposure and: Must be in-person at their place of work


Work in one of the eight essential sectors listed here VAYA HEALTH | vayahealth.com | providers.vayahealth.com


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