MAHEC #67450 Closed

NC AHEC CHW Specialty Training Program: Overview of Medicaid Managed Care

NC AHEC CHW Specialty Training Program: Overview of Medicaid Managed Care

Location

Online Course
MAHEC
Asheville, NC 28803

Dates & Times

Dec 31, 2021 9:55 AM – Dec 31, 2024 9:55 AM

Contact

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Registration for this online module is now closed.
About this Module

This module is divided into three sections focusing on an overview of NC Medicaid and Medicaid Managed Care, the role of CHWs in Medicaid Managed Care, and the role of CHWs in client advocacy.

Approximate time to complete the course: 90 minutes

Learner content includes: Video, corresponding course handout, exercises and a brief post-test.

About this Series

NC AHEC, as an anchor partner in the NC CHW Initiative, is committed to ensuring that Community Health Workers have access to ongoing training and professional development. As a vital workforce advancing health outcomes across the state, CHWs must have the opportunity to deepen their knowledge and strengthen their skills to support the health and wellness of all North Carolinians.

With funding from the NC Department of Health Benefits (Medicaid), NC AHEC has collaborated with CHWs, CHW supervisors, and other key stakeholders to develop CHW Specialty Training standards, identify core training topics, and create a series of online modules designed to prepare CHWs to work alongside primary care practices within the Medicaid Managed Care network.

Each module offers continuing education credit recognized by the NC CHW Association for certification maintenance. Some modules address standalone topics, while others may be taken together to build deeper understanding in key areas. All modules are co-developed with CHWs to ensure the learning content and format reflect CHW culture and real-world experience.

This course is part of the online NC AHEC Community Health Worker courses of recorded content.

In Collaboration with


UNM ECHONC-CHWA

IHI

Audience

Community health workers, lay health workers, outreach workers, and other frontline public health workers improving the health of their communities, and the supervisors, colleagues and allies of the CHW workforce

Objectives

Upon completion of this activity, the participant should be able to:

check Demonstrate basic knowledge of NC Medicaid Program
check Describe and identify key components of Medicaid Managed Care
check Identify NC Medicaid Managed Care Quality and Population Health Priorities
check Identify the key ways CHWs can make an impact on Population Health Priorities: SDOH, Chronic Disease Health Education, Access to Care
check Describe NCCARE360 and other tools CHWs can use to fulfill their roles
check Identify common challenges clients may experience with NC Medicaid and Medicaid Managed Care: What to do if my PCP is not in-network with my Health Plan and how to change my Health Plan
check Demonstrate knowledge of additional key terms: Enrollment Broker, Ombudsmen, Member Handbook, Benefits, Value Added Services, Formulary, In-Network Provider, Out of Network Provider
check Describe why NC is implementing Medicaid Managed Care
check Demonstrate knowledge of key terms
check Demonstrate knowledge of additional key terms: Care Management, SDOH, Clinically Integrated Network
check Identify the key settings CHWs can work in as part of Medicaid Managed Care: PHP, CIN, AMH, CBO
check Identify common questions clients may have about NC Medicaid and Medicaid Managed Care: How to apply and choose a Health Plan, and what are my Benefits
check Describe resources to support clients who have questions or concerns about NC Medicaid and Medicaid Managed Care

Fees

Cancellation Policy

Free, but must register to attend

FREE

Speakers

Kathey A. Avery, RN, BSN, CN, CHW, CTTS
Janet Bennett, Business Administration
Carla P. Ragin, CHW
Evan Richardson, RN, CNM, MSN
Dylan Simosko, NC Medicaid Ombudsman

Additional Resources

Cancellation Policy

MAHEC has a pay-up-front policy for all CE programs. The only exceptions will be for pre-approved programs where an individual payment plan is appropriate. Registrations received without accompanying payment will not be processed and participants who have not paid the course fee will not be admitted into the program.

Unless otherwise noted in course materials, the following cancellation policy applies to all programs:

  • Cancellations must be in writing (fax, email, or mail).
  • Cancellations received more than two weeks prior to the event will receive 100% refund.
  • Cancellations received between two weeks and five full business days prior to the first day of the event are refunded at 70% of the registration fee subject to a minimum $25 cancellation fee.
  • No refunds or credits will be given for cancellations received less than five full business days prior to the event.
  • No vouchers will be issued in lieu of a refund.
  • Transfers/substitute(s) are welcome (please notify us in advance of the program).
Ready to continue your professional development?