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Medicaid claim plan detailed

By Michael Abramowitz

The Daily Reflector

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North Carolina’s health care providers soon will have a new state system for Medicaid reimbursement claims, but they have no idea yet who their Medicaid management partners will be.

N.C. Secretary of Health and Human Services secretary Aldona Wos on Thursday presented local health professionals with Gov. Pat McCrory’s vision for the future of Medicaid and gathered suggestions, questions and concerns about how to achieve a system that “makes people healthier in a predictable and sustainable way.”

McCrory already has opened the bidding process to private-for-profit entities to compete with the state’s award-winning not-for-profit community care (CCNC) management entity, a move that has concerned many health care providers. Wos said that having multiple management entities would make it easier for care providers to contract for management services and receive reimbursements more efficiently, “but how many is the right number... to keep the system successful and sustainable?”

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