Tailored Care Management 102 - Becoming an AMH+/CMA

Oct 2, 2026

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Tailored Care Management Webinar Series session “Becoming an AMH+/CMA” (October 8, 2021) explains the Tailored Care Management model for BH I/DD Tailored Plans and how care management is provider-based through Advanced Medical Home Plus (AMH+) practices, Care Management Agencies (CMAs), or plan-based care managers. It details eligibility for Tailored Plan members across Innovations and TBI waivers and access for NC Medicaid Direct populations, emphasizing certification requirements and a two-round AMH+/CMA certification timeline leading to the model launch.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages34

Reading Time1 h 26 min

AccessFree to download

Today’s Focus

Presenters

Agenda

Recap: Tailored Care Management Model

Overview

Key Updates

Application Process and Certification Requirements for AMH+ Practices and CMAs

Tailored Care Management 102: Becoming an Advanced Medical Home Plus (AMH+) Practice and Care Management Agency (CMA) October 8, 2021 Tailored Care Management Webinar Series Today’s webinar is a part of a series to help develop a shared understanding of the Tailored Care Management model across the North Carolina provider community and any anyone else who is interested. | Date
Fridays 12-1 PM | Topic | | --- | --- | | October 1, 2021 | Introduction to Tailored Care Management | | October 8, 2021 | Becoming an AMH+/CMA | | October 15, 2021 | Health IT Requirements and Data Sharing | | October 22, 2021 | Partnering with a Clinically Integrated Network and Other Partners | | October 29, 2021 | Delivery of Tailored Care Management | | November 5, 2021 | Transitional Care Management
Community Inclusion Activities | | November 19, 2021 | Conflict-Free Care Management and Additional Care Coordination Functions for Members Enrolled in the Innovations or TBI Waiver | | December 3, 2021 | Billing | | December 10, 2021 | Oversight and Quality Measurement/Improvement | Today’s Focus | | | | --- | --- | | Tailored Care Management Webinar Series | | | | Time permitting, we will be holding a Q&A session at the conclusion of today’s presentation .
• You may ask a question at any time throughout the presentation, using the Q&A text box
• Q&A text box is located at the lower right-hand side of the screen
• Simply type in your question and click send
A recording of today’s presentation and the slide deck will be available atthe below website .
For more information on Tailored Care Management, please visit:
[https://medicaid. ncdhhs.gov/transformation/tailored-care-management](https://medicaid. ncdhhs.gov/transformation/tailored-care-management) | Presenters | Kelly Crosbie, MSW, LCSW | Krystal M. Hilton, M. P. H. | Gwendolyn
Sherrod, M. B.A., M. H.A . | Keith McCoy, MD | Mya W. Lewis, MHA | | --- | --- | --- | --- | --- | | Chief Quality Officer
NC Medicaid, Quality and Population Health | Associate Director of Population Health,
NC Medicaid, Quality and Population Health | Senior Program Manager for Special Programs, NC Medicaid, Quality and Population Health | Deputy CMO for Behavioral Health and IDD Community Systems,
Chief Medical Office for Behavioral Health and IDD | IDD and TBI Section Chief, Division of Mental Health, Developmental Disabilities and, Substance Abuse Services | Agenda |

| Recap: Tailored Care Management Model
Key Updates
Application Process and Certification Requirements for AMH+ Practices and CMAs
Q & A | | --- | --- | Recap: Tailored Care Management Model Overview What is Tailored Care Management? Key Features of Tailored Care Management Tailored Care Management is the primary care management model for BH I/DD Tailored Plans. 􀂃 All Tailored Plan Members are eligible for Tailored Care Management, including individuals enrolled in the 1915(c) Innovations and TBI waivers. 􀂃 Individuals enrolled in NC Medicaid Direct (e.g., dual eligibles) will also have access to Tailored Care Management, if they otherwise would be eligible for a Tailored Plan if not for belonging to a group delayed or excluded from managed care. Tailored Plan members will be assigned to one of three approaches for obtaining Tailored Care Management: an Advanced Medical Home Plus (AMH+) practice, Care Management Agency (CMA), or a plan-based care manager. 􀂃 The Department strongly believes that care management should be provider-based and performed at the site of care (i.e., at an AMH+/CMA) to the maximum extent possible. 􀂃 Providers must be certified as an AMH+ practice or CMA to perform Tailored Care Management. Under Tailored Care Management, members will have a single care manager who will be equipped to manage all of their needs, spanning physical health, behavioral health, I/DD, TBI, pharmacy, LTSS, and unmet health-related resource needs.

FAQs

What is Tailored Care Management and who is eligible?

Tailored Care Management is the primary care management model for BH I/DD Tailored Plans. All Tailored Plan members are eligible, including those enrolled in the 1915(c) Innovations and TBI waivers, and certain NC Medicaid Direct individuals if they would otherwise be eligible for a Tailored Plan.

How do members obtain Tailored Care Management?

Members are assigned to one of three approaches: an AMH+ practice, a CMA, or a plan-based care manager. The Department emphasizes provider-based care performed at the site of care (AMH+/CMA) to the maximum extent possible.

What are the certification requirements and how was the launch prepared?

Providers must be certified as an AMH+ practice or CMA to perform Tailored Care Management. For the launch, the Department initiated two rounds of AMH+/CMA certification, with desk reviews and site reviews scheduled around Summer 2021 and later periods, leading to the expected launch window.

Oct 2, 2026

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