Provider Pathways is a 24/7 educational resource that offers a foundation for doing business with Blue Cross and Blue Shield of North Carolina (Blue Cross NC). It is designed to be user friendly and gives you flexibility when scheduling Healthy Blue training for yourself and your staff. To launch the Provider Pathways eLearning, you must first complete a short registration survey.
We offer training and tutorials to support Healthy Blue providers in continuing their education. Presentations, videos and other training documentation will be added as they become available.
The provider manual provides key administrative information, including the quality improvement program, the Utilization Management program, quality standards for participation, claims appeals, and reimbursement and administration policies.
For Healthy Blue providers in NC serving Medicaid members.
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. Visit the Healthy Opportunities Pilots page to learn more.
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. Visit NC InCK to learn more.
Telehealth or telemedicine is the use of telecommunication technologies to extend care to patients virtually rather than in person. Telehealth allows health care providers to:
SBIRT is a clinician’s tool for identifying unhealthy substance use behaviors and providing appropriate intervention for at risk patients.
A series of online course for providers and office staff that conveys practical strategies for implementing patient care and applying best practices.
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