Healthy Blue Of Nc Care Management

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Care Management Healthy Blue of North Carolina

(7 days ago) People also askWhat services are covered by healthy Blue?Mild- to moderate-BH services are covered. Healthy Blue members with serious mental illness and are intellectually developmentally disabled will remain with local management entities (LMEs) until the tailored plan goes into effect. What are LME/MCOs?Frequently Asked Questions - Healthy Blue North Carolina Providersprovider.healthybluenc.comCan a healthy Blue member self-refer to a specialist?A Healthy Blue member can self-refer to a specialist, or their primary care provider (PCP) could coordinate the member's healthcare needs and initiate and monitor referrals for specialized services when needed. If a provider is not currently a Medicaid provider, are they able to participate in the Healthy Blue network?Frequently Asked Questions - Healthy Blue North Carolina Providersprovider.healthybluenc.comWill healthy Blue members stay enrolled in Medicaid?This member population will stay enrolled in Medicaid directly through the NC Medicaid Direct plan and will continue to receive their behavioral health services through LME/MCOs as they currently do. When do contracted providers begin serving Healthy Blue members?Frequently Asked Questions - Healthy Blue North Carolina Providersprovider.healthybluenc.comFeedbackHealthy Blue of North Carolinahttps://www.healthybluenc.com//care-management.htmlCare Management Healthy Blue of North CarolinaYou’ll get a care plan designed just for you. You and your care manager will work together to figure out the care and services you need to help you meet your health care goals. Your Care Plan is a tool for Healthy Blue care management members to help you: 1. Stay connected with your care coordinator 2. Find … See more

https://www.healthybluenc.com/north-carolina/benefits/medicaid-benefits/care-management.html#:~:text=Your%20care%20manager%20will%20talk%20with%20you%20over,Find%20doctors%20and%20other%20resources%20close%20to%20home

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Provider Resources - Healthy Blue North Carolina Providers

(8 days ago) WebThe behavioral health provider network for Healthy Blue members includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee …

https://provider.healthybluenc.com/north-carolina-provider/resources

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Blue Cross NC's Healthy Blue Plan Enrolls First Members, Launches

(9 days ago) WebDURHAM, N.C. – Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has enrolled its first members in Healthy Blue, its Medicaid managed care plan, …

https://mediacenter.bcbsnc.com/news/blue-cross-nc-s-healthy-blue-plan-enrolls-first-members-launches-statewide-provider-network-as-medicaid-managed-care-begins

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Tailored Care Management NC Medicaid

(2 days ago) WebTo ensure beneficiaries can seamlessly receive care on day one, the North Carolina Department of Health and Human Services (NCDHHS) is delaying the implementation of …

https://medicaid.ncdhhs.gov/tailored-care-management

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Healthy Blue + Medicare HMO D-SNP Providers Blue Cross NC

(1 days ago) WebCase management (medical & drug) Phone: 866-611-4287. Fax: 855-443-7821. Healthy Blue + Medicare. 3350 Peachtree Road NE. Atlanta, GA 30326. View our Healthy Blue …

https://www.bluecrossnc.com/providers/networks-programs/blue-medicare/healthy-blue-medicare

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Care Management Healthy Blue of South Carolina

(5 days ago) WebIf you are not automatically identified for care management and you would like to join one of our programs, you can also call us at 866-781-5094 (TTY 866-773-9634) from 8:30 a.m. …

https://www.healthybluesc.com/resources/care-management

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Healthy Blue + Medicare Dual-Eligible Special Needs - Blue …

(1 days ago) WebBlue Shield of North Carolina (Blue Cross NC). Healthy Blue + Medicare is an included MA plan for all Blue Cross NC Medicare Provider Agreements, and its members are served …

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-programs/blue-medicare/dsnp-supplemental-guide-for-posting.pdf

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Medical Policies and Clinical Utilization Management - Blue …

(Just Now) WebEffective May 1, 2023, we will implement the MCG Care Guidelines Content Patch 26.1 Updates for the following modules: General Recovery Care (GRG), Inpatient …

https://www.bluecrossnc.com/providers/provider-news/2022/medical-policies-and-clinical-utilization-management-guidelines-update-healthy-blue

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Frequently Asked Questions - Healthy Blue North Carolina …

(6 days ago) WebMedicaid plan for Medicaid members in North Carolina, known as Healthy Blue. Please utilize this document for the most frequently asked questions. Should other questions …

https://provider.healthybluenc.com/docs/gpp/NC_CAID_HBFAQ.pdf?v=202106221528

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A Guide to NC Medicaid: Healthy Blue of North Carolina

(7 days ago) WebIf you're wondering how to apply for Healthy Blue the old-fashioned way, you can also call the application department at 1-833-870-5500 (toll-free) or (TTY: 711 or RelayNC.com ). …

https://insurdinary.com/insurance/us-healthcare-plans-by-state/north-carolina-medicaid/

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Care management and medical necessity Providers Blue Cross NC

(3 days ago) WebThe Blue Cross NC Care Management Department works with physicians and members to facilitate the most medically appropriate, cost-effective, quality care for our members. By …

https://www.bluecrossnc.com/providers/prior-authorization/care-management

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Healthy Blue Provider Manual

(7 days ago) Webcommittees. Please feel free to call Healthy Blue Provider Services at 844-594-5072 with any suggestions, comments and/or questions. Together, we can make a …

https://provider.healthybluenc.com/docs/gpp/NCNC_CAID_ProviderManual.pdf?v=202301251523

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Healthy Blue + MedicareSM (HMO D-SNP) - Blue Cross NC

(7 days ago) WebNote: AIM Speciality Health is an independent company providing some utilization review services for Healthy Blue + Medicare providers on behalf of Blue …

https://www.bluecrossnc.com/providers/provider-news/2022/healthy-blue-medicaresm-hmo-d-snp-november-2021-medical-policies-and-utilization

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Housing As A Health-Related Social Need: Lessons From North …

(5 days ago) Web"Housing As A Health-Related Social Need: Lessons From North Carolina’s Healthy Opportunities Pilot", Health Affairs Forefront, May 13, 2024. DOI: …

https://www.healthaffairs.org/content/forefront/housing-health-related-social-need-lessons-north-carolina-s-healthy-opportunities-pilot

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North Carolina Department of Health and Human Services …

(4 days ago) Web• Tailored Plan Launch: Care Management is Key to Integrated Care • Tailored Care Management Updates o Update on Round 4 Certification o Clarifying Acuity-Based …

https://medicaid.ncdhhs.gov/documents/notes2024-apriltailored-care-management-tag-29/download?attachment

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Duke Raleigh Pain Clinic Raleigh, NC Duke Health

(1 days ago) WebThe pain management specialists at Duke Raleigh Pain Clinic provide personalized care to relieve pain and improve your quality of life and function. This includes care to help you …

https://www.dukehealth.org/locations/duke-raleigh-pain-clinic

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Case Manager - Medicare Advantage job in Remote, North …

(7 days ago) WebApply for Case Manager - Medicare Advantage job with Blue Cross and Blue Shield of North Carolina in Remote, North Carolina, United States of America. Health Care jobs at …

https://careers.bluecrossnc.com/global/en/job/RQ0015277/Case-Manager-Medicare-Advantage

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2024 Duke University Blue Care Member Guide - Human …

(2 days ago) WebOut of North Carolina Care: 1-800-810-BLUE (2583) For help in obtaining care outside of North Carolina or the U.S., call this number or visit www.BCBS.com. HealthLine Blue. …

https://hr.duke.edu/sites/default/files/Blue%20Care%20Member%20Guide.pdf

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