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Smoky Mountain Center is a URAC Accredited Agency
SMC is a URAC Accredited Agency.
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Medicaid Waiver Information

 

NOTICE EFFECTIVE JULY 1, 2012: As a waiver site Smoky Mountain Center is no longer offering contracts to all interested providers, but will enroll providers based on the needs of the local recipients and on provider network performance. SMC is an operational waiver site as of July 1, 2012. SMC held its open enrollment period during the implementation of its 1915 b/c waiver from January - June 2012.

"1915 b/c Medicaid Waiver Basics" Sessions for Community Members
Smoky Mountain Center’s Consumer and Family Advisory Committee (CFAC) invites you read more about the “1915 b/c Medicaid Waiver Basics” sessions that were held in December to learn more about the Medicaid Waiver and how it will impact services.

Please be sure to download the Waiver Basics Presentation that was given at the sessions in December.


 

Folder Medicaid Waiver FAQ for Providers NEW!
UPDATED 6/6/2012
Submit a Question for the Medicaid Waiver FAQ for Providers


Folder Medicaid Waiver FAQ for Consumers NEW!
Submit a Question for the Medicaid Waiver FAQ for Consumers


Folder Medicaid Waiver FAQ for Community Partners NEW!
Submit a Question for the Medicaid Waiver FAQ for Community Partners


 

Folder SMC Medicaid Waiver Expansion Information
NC DHHS / Mercer On-Site Evaluation Report for SMC - Adobe PDF
NC DHHS Medicaid Wavier Expansion Awards Letter - Adobe PDF

Folder SMC's Response to the Medicaid Waiver RFA


Folder Medicaid Waiver Communications from the Division of MH/DD/SAS
Secretary Cansler's Discussion of Waiver Expansion - Adobe PDF
Responsible Change to Achieve Easy Access, Better Quality and Personal Outcomes - NC DHHS - Adobe PDF
The 1915(b)(c) Waiver Expansion for People with Intellectual and other Developmental Disabilities - NC DHHS - Adobe PDF
Waiver RFA Responses to Questions from LMEs - NC DHHS - Adobe PDF
NC DMH Communication on Case Management - NC DHHS - Adobe PDF
Comparison of CAP MR & Innovations Waiver - NC DHHS - Adobe PDF
Basic Description and Purpose of the NC Medicaid 1915(b)(c) Waiver - Adobe PDF
Michael Watson's NC Medicaid 1915(b)(c) Waiver LME Governance Presentation - Adobe PDF
NEW! Partnering for Success: The 1915(b)/(c) Medicaid Waiver Initial DHHS Strategic Implementation Plan - Adobe PDF


Folder What is a Waiver?
What is a Waiver? - Adobe PDF

Folder The Future Is Now
The Future Is Now - Introduction - Adobe PDF
The Future Is Now - Condensed Version - Adobe PDF
The Future Begins Now - White Paper - Adobe PDF

Folder SMC Futures Committee
SMC's Futures Committee is working to gather information from consumers, families, and providers throughout SMC's 15 counties about case management and how changes could affect you. This information gathering will take place through public forums beginning in September.


Folder SMC Medicaid Waiver Readiness Report
Medicaid Waiver Readiness Report - Introduction - Adobe PDF
Medicaid Waiver Readiness Report - Narrative Document - Adobe PDF

Folder Medicaid Fee Schedules
These Fee Schedules go into effect on July 1st, 2012, when SMC begins processing Medicaid in place of Value Options.

 

Folder Provider Credentialing and Enrollment
Smoky Mountain Center (SMC) is a local management entity (LME) that currently monitors state mental health, intellectual and developmental disability, and substance abuse funding for its catchment area consisting of Alexander, Allegheny, Ashe, Avery, Caldwell, Cherokee, Clay, Graham, Haywood, Jackson, Macon, McDowell, Swain, Watauga, and Wilkes counties.

Effective July 1, 2012, in addition to managing state funds, SMC will be responsible for managing Medicaid funds for all behavioral health services for Medicaid enrollees whose county of Medicaid eligibility is within our catchment area.

Please contact providerinfo@smokymountaincenter.com if you have questions.

 

 

Folder Provider Cultural Competency Plan and Requirements under Medicaid Waiver
Please be aware that as part of the requirements for the Medicaid Waiver, each Provider in the SMC Provider Network will be required to develop, implement, and maintain a Cultural Competency Plan for their agency or practice that is respectful and supportive of the cultural and diverse needs of consumers, families, stakeholders, communities, and other agencies. Cultural competency shall be a guiding principle that is reflected in Providers’ policies, clinical protocol, and established benchmarks and outcome measures.

Each Provider with a current State-Funded Contract, Medicaid Memorandum of Agreement (MOA), or Medicaid Billable Contract with SMC that intends to continue to contract with SMC under the Medicaid Waiver (beginning July 1, 2012) shall complete the Smoky Mountain Center Cultural Competence Self-Assessment Tool (Attachment 1) and submit to Christie Lupton, Provider Monitoring Specialist, at Christie.lupton@smokymountaincenter.com no later than December 31, 2012. This self-assessment tool will be required of all Providers in the SMC Provider Network annually at a minimum.

Please review the attached documents: Please contact providerinfo@smokymountaincenter.com if you have questions.

Folder Provider Timeline - Important Dates Providers Should Know
Provider Medicaid Waiver Timeline - Requires Internet Explorer (Uses ActiveX controls)
UPDATED 08/01/2011
Provider Medicaid Waiver Timeline - 1 Page per Month - Adobe PDF
UPDATED 08/01/2011

Folder Advantages to the Public Management of the Medicaid Waiver
Public Managment of Medicaid Waiver and Advantages to Providers - Adobe PDF
Public Managment of Medicaid Waiver and Advantages to Consumers - Adobe PDF

Folder Consumers and Families
NC State CFAC June 2011 Waiver Presentation - Adobe PDF
CAP and Innovations Waiver Comparison Grid - Adobe PDF

Serving individuals with mental health, developmental disability and substance abuse issues in Alexander, Alleghany, Ashe, Avery, Caldwell, Cherokee, Clay, Graham, Haywood, Jackson, Macon, McDowell, Swain, Watauga and Wilkes Counties
For Immediate Help, Call 1-800-849-6127                    For Customer Services, Call 1-888-757-5726                    For TTY Calls, 1-888-757-2280
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