Comunicaciones Clínicas

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Guía para la Toma de Decisión y Cumplimiento

Comunicación Clínica son avisos enviados periódicamente a los proveedores de nuestra red en relación con problemas que pueden afectar las áreas de operación clínica.

---- Enlaces siguientes son en idioma inglés ----

Boletines de Comunicaciones Clínicas (Contenido en inglés)

Clinical Communication Bulletin 69

  • Hurricane Helene Policy Flexibilities to Support Providers and Members
10.14.2024

Clinical Communication Bulletin 68

  • Hurricane Helene available Waivers 
10.09.2024

Clinical Communication Bulletin 67

  • NC MEdicaid Temporary Flexibilities Due to Hurricane Helene
09.27.2024

Clinical Communication Bulletin 66

  • Tailored Plan (TP) Launch Flexibilities Extended for TP Medicaid and Medicaid Direct
09.27.2024

Clinical Communication Bulletin 65

  • Tailored Plan Launch Flexibilities Extended for TP Medicaid and Medicaid Directs
09.19.2024

Clinical Communication Bulleting 64

  • 1115 Substance Use Disorder Demonstration Waiver Medicaid withdrawal management policies
09.04.2024

Clinical Communication Bulletin 63

  • NCDHHS blog post on 1915(i) Updates for Providers 
08.27.2024

Clinical Communication Bulletin 62

  • Medicaid Direct B3 services ending December 31, 2024 Update to Clinical Communication Bulletin 61
07.24.2024

Clinical Communication Bulletin 61

  • Transtition to Tailored Plan - What happens with 1915(i) and B3 services for Tailored Plan and Medicaid Direct Members
07.03.2024

Clinical Communication Bulletin 60

  • Changes to State Funded IDD Supported Employment codes and benefits 
07.02.2024

Clinical Communication Bulletin 59

  • Residential Supports and/or any per diem service and Meal Delivery
06.19.2024

Clinical Communication Bulletin 58

  • Authorizations and Claims submission for Tailored Plan launch on July 1, 2024
06.01.2024

Clinical Communication Bulletin 57

05.30.2024

Clinical Communication Bulletin 56

  • Frequently asked questions for 1915i 
05.30.2024

Clinical Communication Bulletin 55

  • Prior authorization needed for all state funded benefits for July 1, 2024
05.28.2024

Clinical Communication Bulletin 54

  • Postponed Implementation of New and Amended State-Funded Withdrawal Management (Detoxification) Services, State-Funded Substance Abuse Intensive Outpatient Program (SAIOP) & State-Funded Substance Abuse Comprehensive Outpatient Treatment (SACOT) UPDATE to Clinical Communication Bulletin 50
05.17.2024

Clinical Communication Bulletin 53

05.17.2024

Clinical Communication Bulletin 52

  • Tailored Plan Authorization Plans
05.10.2024

Clinical Communication Bulletin 51

  • Changes in ADVP for State-Funded IDD Members
05.09.2024

Clinical Communication Bulletin 50

  • 1115 Substance Use Disorder Demonstration Waiver Medicaid withdrawal management policies 
04.29.2024

Clinical Communication Bulletin 49

  • Transition from B3 to 1915i services
04.19.2024

Clinical Consolidation Communication 16

  • FAQ for transition from B3 to 1915i services
02.29.2024

Clinical Communication 48

  • Guidance of Sunsetting of Innovations Waiver Appendix K Flexibilities
02.28.2024

Clinical Consolidation Communication 15

  • Locus and Calocus in Trillium Business System (TBS) 
02.27.2024

Clinical Consolidation Communication 14

  • Legacy Eastpointe and Sandhills Providers Invoices 
02.16.2024

Clinical Consolidation Communication 13

  • Provider Office Hours Extended for Limited Time
02.08.2024

Clinical Consolidation Communication 12

  • Consolidation Rates and Contracting
01.31.2024

Clinical Consolidation Communication 11

  • Registry of Unmet Needs
  • Relative/Legal Guardian Direct Support Employee (RDSE)
01.31.2024

Clinical Consolidation Communication 10

  • Electronic Visit Verification (EVV) Diagnosis Code Updates
01.30.2024

Clinical Consolidation Communication 09

  • Update from Consolidation Bulletin 8 in reference to EPSDT
01.26.2024

Clinical Consolidation Communication 08

  • Update from Consolidation Bulletin 5 in reference to EPSDT
  • 837 File Submission Requirements
01.25.2024

Clinical Consolidation Communication 07

  • Consolidation Benefit Plan
01.23.2024

Clinical Consolidation Communication 06

  • Consolidation Billing
  • Paper Claims and Enrollment/Eligibility
01.18.2024

Clinical Consolidation Communication 05

  • Consolidation Communication Bulletin update from Consolidation Bulletin 4 in reference to EPSDT
01.11.2024

Clinical Consolidation Communication 04

  • Action Needed for Sandhills Center and Eastpointe Providers
  • Consolidation Authorization Plans – update to Consolidation Bulletin 01
  • Electronic Visit Verification (EVV)
  • NCDHHS Overview of the LME/MCO Consolidation
01.08.2024

Clinical Communication Bulleting 047

  • Changes for authorization requirements for Research Based -Behavioral Health Treatment (RB-BHT)
01.05.2024

Clinical Consolidation Communication 03

  • Important Guidance on Provider Forms, Training Portal, and Provider Direct
01.04.2024

Clinical Consolidation Communication 02

  • Providers Contracts and Rates
12.28.2023

Clinical Consolidation Communication 01

  • Consolidation Authorization Plans
12.20.2023

Clinical Communication Bulletin 046

  • Changes in state funded respite codes and rates
12.14.2023

Clinical Communication Bulletin 045

  • Innovations Flexibilities updates
11.09.2023

Clinical Communication Bulletin 044

  • Opioid Treatment changes
11.03.2023

Clinical Communication Bulletin 043

  • Innovations Flexibilities Updates
11.01.2023

Clinical Communication Bulletin 042

  • Fact sheet for B3 to i services
10.05.2023

Clinical Communication Bulletin 041

  • Sun Setting of state funded codes and closing of new admissions to some state benefits
10.04.2023

Clinical Communication Bulletin 040

  • 1915i waiver services and new B3 codes
09.12.2023

Clinical Communication Bulletin 039

  • Hurricane Idalia Flexibilities
08.31.2023

Clinical Communication Bulletin 038

  • Prior authorization changes to Medicaid B services
08.31.2023

Clinical Communication Bulletin 037

  • 1915(i) waiver services and new B3 codes
08.29.2023

Clinical Communication Bulletin 036

  • Changes for authorization requirements for Opioid Treatment
06.26.2023

Clinical Communication Bulletin 035

  • Person-Centered Planning Template Update
05.22.2023

Clinical Communication Bulletin 034

  • Changes in billing for Opioid Take Home Medication Billing
05.16.2023

Clinical Communication Bulletin 033

  • Ending of Public Health Emergency and Medicaid Authorizations during crossover to Medicaid Direct
03.22.2023

Clinical Communication Bulletin 032

  • CHANGE IN Ending of the NC State of Emergency Flexibilities for both Medicaid and State Providers
11.14.2022

Clinical Communication Bulletin 031

  • Ending of NC State of Emergency Flexibilities for both Medicaid AND State Providers
09.28.2022

Clinical Communication Bulletin 030

  • Ending of NC State of Emergency Flexibilities for both Medicaid AND State Providers
07.21.2022

Clinical Communication Bulletin 029

  • Ending of NC State of Emergency Flexibilities for both Medicaid AND State Providers
 

Clinical Communication Bulletin 028

  • Change in State-Funded Benefit Plan
04.11.2022

Clinical Communication Bulletin 027

  • State-Funded Benefit Plan
02.11.2022

Clinical Communication Bulletin 026

  • Change in State Funded Benefit Plan
01.10.2022

Clinical Communication Bulletin 025

  • Bladen County Authorization process
12.30.2021

Clinical Communication Bulletin 024

  • Increased access to residential treatment for children with medically necessary behavioral health treatment needs
12.29.2021

Clinical Communication Bulletin 023

  • Halifax County Authorization process
11.01.2021

Clinical Communication Bulletin 022

  • Change in State-Funded Benefit Plan
09.24.2021

Clinical Communication Bulletin 021

  • JCB #J396 - Change in State-Funded Benefit Plan for Providers of Day Supports Services
06.29.2021

Clinical Communication Bulletin 020

  • Change in State-Funded Benefit Plan

Frequently Asked Questions Clinical Communication #020Posted June 24, 2021

Frequently Asked Questions Clinical Communication #020Posted June 03, 2021

05.21.2021

Clinical Communication Bulletin 019

  • ICD 10 diagnosis
11.03.2020

Clinical Communication Bulletin 018

  • Day Treatment Service Expansion Notice to Providers
08.02.2019

Clinical Communication Bulletin 017

  • CPT Transition code information on Research Based Behavioral Health Treatment (RB-BHT)
07.03.2019

Clinical Communication Bulletin 016

  • Psychological Testing codes
01.25.2019

Clinical Communication Bulletin 015

  • Changes to the State Benefit Plan
30.11.2018

Clinical Communication Bulletin 014

  • LME-MCO Communication Bulletin #J307: NC Innovations Waiver Flexibility Due to Hurricane Florence and flexibility related to other funding streams.
10.10.2018

Clinical Communication Bulletin 013

  • Soft Start on Authorizations in Columbus County
06.01.2018

Clinical Communication Bulletin 012

  • Changes to the State Benefit Plan
04.16.2018

Clinical Communication Bulletin 011

  • Intermediate Care Facilities (ICF) Authorization Guideline Update
06.23.2017

Clinical Communication Bulletin 010

  • Nash County Authorization Process
    (All questions related to this Clinical Communication Bulletin can be sent to UM@TrilliumNC.org. Questions will be responded to as quickly as possible)
06.15.2017

Clinical Communication Bulletin 009

  • Trillium Benefit Plan Updates
04.28.2017

Clinical Communication Bulletin 008 

  • Programs to Serve Children with Medicaid using Applied Behavior Analysis
10.24.2016

Clinical Communication Bulletin 007

  • Medicaid Funded Services Plan benefit changes
  • State Funded Services Plan benefit changes
  • Innovations Waiver update, Medicaid (b)(3)
  • Services Plan benefit changes
  • Scope of practice for offering Functional Behavior Assessments

Frequently Asked Questions Clinical Communication #007

05.10.2016

Clinical Communication Bulletin 006

  • Updates related to Medicaid (B) (3) and State Plan Benefits and Service Orders
01.12.2016

Clinical Communication Bulletin 005

  • Third Party Liability for Mental Health and Substance Use Services
11.23.2015

Clinical Communication Bulletin 004

  • State and B3 Benefit Plan updates
09.02.2015

Clinical Communication Bulletin 003

  • Updates related to service orders, expectations for crisis plans, B3 denials, and DSM-5
08.26.2015

Clinical Communication Bulletin 002

  • Short Range Goals, Quarterly Progress Summaries, Provider Submission of Treatment Authorization Requests (TARs)
07.17.2015

Clinical Communication Bulletin 001

  • Trillium Benefit Plan - Medicaid B, Medicaid C, 
    Medicaid (b)(3), and State

Frequently Asked Questions Clinical Communication # 001

07.01.2015
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