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i 28 <br /> '1 EMSIMC <br /> EMS MANAGEMENT&CONSULTANTS <br /> Providers will be permitted to mutually agree to a different rate or alternative payment arrangement <br /> through the provider contracts. The Department will also set guidelines for out-of-network provider <br /> payments. PHP will be required to cover the same services as Medicaid fee-for-service and may agree to <br /> pay for additional services if proven to be beneficial to the recipient's care plan. <br /> Challenges & Risks <br /> COVID-19 pandemic introduces complexity and uncertainty in project planning <br /> Tailored Plan Request for Application (RFA) and operational transition in preparation for July 2022 <br /> launch <br /> DHHS is working with the Eastern Band of Cherokee Indians to develop a PCCM "Tribal Option"to go <br /> live in Region 1 <br /> EMS MC's Role <br /> EMS MC will continue to monitor the implementation of the North Carolina Medicaid Reform and will <br /> provide ongoing updates to our EMS Providers. We will be happy to assist you in contract negotiation <br /> now that the MCOs have been selected. Our Payor Relations Team will be completing the provider <br /> enrollment process on your behalf and will be reaching out to you to obtain any necessary information. <br /> EMS I MC has held preliminary meetings with a few of the health plans in anticipation of this award. We <br /> will continue to meet with the plans to advocate for increased reimbursement on behalf of our clients. <br /> We are excited about the possibilities of increased coverage for services such as Mobile Integrated <br /> Healthcare (MIH) which have been very appealing to the mission of the Department and the PHPs. <br /> EMS I MC will be fully prepared to submit claims to all Managed Care Organizations can your behalf <br /> upon implementatioi If you have any further questions, please feel free contact your Strategic <br /> Account Manager. <br /> REGION 2 REGION 4 REGION 6 <br /> uiEDXwY 7@� <br /> REGION1 RSXE RDRRf 519XF5 RPCNINGXAM <br /> nAIAUDp WAKES <br /> YADKIX <br /> � AIERr FDA3YIX GUIIFDRD <br /> f- D MVUL IEXAIID[ UWE l <br /> WWII rAXCEY 4 <br /> IREARL DAVIDSON �. <br /> BURM <br /> BVNCOMBE <br /> MCDOWEII Cp1AW&l RRRWN 111 <br /> wAYWWP <br /> SWAIN IINCOw <br /> Nuh-WORD cABRRRUR <br /> FiRAMAM NENOERSOx <br /> IACXSOH KIK CLEYEIAND MTON SIANIY <br /> SYIYAIYV. MECKIFNAUR <br /> CHEROKEE <br /> IR' <br /> r <br /> CAY <br /> UNION <br /> WON <br /> REGION 3 r! <br /> REGION 5 <br /> EMSIMC H I <br /> EMS MANAGEMENT 81 CONSULTANTS <br />