Healthy Blue Training Academy
The Healthy Blue Training Academy offers you and your staff an extensive library of training and continuing education opportunities. We will add presentations, videos and other training documentation as they become available.
Training materials and tutorials
- Tobacco Cessation Provider Education
- AIM Specialty Health - Provider Training for Radiology/Cardiology Program
- Office Hours Registration Process
- Provider Coding Education (CME/CEU)
- PCS Provider Orientation Schedule
- Guidance for Authorization Requests Beyond Member Eligibility Date
- NC Medicaid State Telehealth FactSheet
- NC Medicaid State Telehealth Billing Code Summary
- LTSS Provider Orientation
- General Provider Orientation
- Telehealth Provider Orientation
- Behavioral Health Provider Orientation
- AIM Specialty Health - Provider Training for Musculoskeletal Program
Schedule and Registration
- Provider Online Reporting (POR) Office Hours for September 2022
- Behavioral Health (BH) Office Hours for September 2022
- Advanced Medical Home (AMH) Office Hours for September 2022
- Outpatient Specialized Therapy Office Hours for September 2022
- Advanced Medical Home Office Hours for October 2022
- Behavioral Health Office Hours for October 2022
- Claims Overview Office Hours for October 2022
- Prior Authorization Office Hours for October 2022
- Patient 360 Office Hours for October 2022
- Upcoming Webinars for AIM Programs - Effective November 1, 2022
Provider Pathways — Digital provider orientation is here
Provider Pathways is a 24/7 educational resource that offers a foundation for doing business with Blue Cross and Blue Shield of North Carolina. It’s designed to be user friendly and gives you flexibility when scheduling training for yourself and your staff to aid you with our Healthy Blue members. Learn more about Provider Pathways .
In order to launch the Provider Pathways eLearning, you must first complete a short registration.
NC InCK: Information for Healthcare Providers
North Carolina Integrated Care for Kids (NC InCK) is a new government-funded model aimed at improving the way children and families receive care and support services. All children and youth from birth to age 21 who are enrolled in North Carolina Medicaid or CHIP (NC Health Choice) and who live in one of five North Carolina counties (Alamance, Durham, Granville, Orange, and Vance) will automatically be enrolled in NC InCK. For more information for healthcare providers on NC InCK, select the following link https://ncinck.org/providers.
Healthy Opportunities Pilot Provider Website Resources
The Center for Medicare and Medicaid Services (CMS) approved up to $650 million in state and federal Medicaid funding to cover the cost of providing select pilot services that address non-medical drivers of health in four priority domains: housing, food, transportation, and interpersonal violence/toxic stress.
ECHO
To learn more about the ECHO programming available, select a link below.
LTSS/PCS
Provider manual
The Healthy Blue provider manual provides key administrative information, including the quality improvement program, the utilization management program, quality standards, claims appeals, and reimbursement and administration policy information.
View or download the provider manual.
Screening, Brief Intervention, and Referral to Treatment (SBIRT)
SBIRT Toolkit
A clinicians' tool for identifying risky behaviors and providing appropriate intervention.
Screening, brief intervention, and referral to treatment, commonly referred to as SBIRT, is an evidence-based, comprehensive, integrated approach to the delivery of early intervention and treatment services to people with substance misuse and those at risk of developing disorders.
The goal of SBIRT is to reduce and prevent related health consequences, disease, accidents, and injuries. Risky substance use is a health issue that often goes undetected; providers can help by incorporating this evidence-based tool that is demonstrated to be valid and reliable in identifying individuals with problem use or at risk for a substance use disorder (SUD).
If you wish to print SBIRT educational materials, please review the links to obtain a downloadable flier and brochure. For any further discussions regarding SBIRT, please contact your Provider Experience or Provider Relations consultant.
Learn about Availity
Many of the tools you need — eligibility and benefits inquiries, claims submission, claims status inquiries and authorizations — can be accessed through Availity. You can find instructions for locating and using these tools on the Learn about Availity page.
Electronic data interchange
Cultural competency resources
Patient panels are growing more diverse and needs are becoming more complex. It is important for providers to have the knowledge, resources, and tools to offer culturally competent care. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) wants to help Healthy Blue providers by offering the following comprehensive trainings and resources, as we all work together to achieve health equity.
My Diverse Patients
The My Diverse Patients website offers learning experiences and techniques and helps you provide the individualized care every patient deserves, regardless of their diverse backgrounds.
Improving patient experience
What Matters Most: Improving the Patient Experience is an online course for providers and office staff that addresses gaps in care and offers approaches to communication with patients. This course is available at no cost and is eligible for one continuing medical education (CME) credit by the American Academy of Family Physicians.
Cultural competency and patient engagement
Blue Cross NC has three versions of the Healthy Blue provider cultural competency training available, based on North Carolina’s geographic regions and the diverse tribal communities in those areas. See the flyer below for details on which version(s) you should take and how to confirm completion.
Caring for Diverse Populations Toolkit
A comprehensive resource to help providers and office staff increase effective communication by enhancing knowledge of the values, beliefs, and needs of diverse patients