For Providers

Posted 8/25/2023

EPSDT Training

Sandhills Center has been instructed by the NCDHHS to inform all providers who work directly with members ages 0-21 that they are now required to take Early Periodic Screening, Diagnosis and Treatment (EPSDT) training annually.

This training can be found on our Learning Management System (LMS). Once you are registered and logged in, you can then search for the training called, “EPSDT and From the Mouths of Babes.” Sandhills Center will also accept EPSDT trainings from any other LME-MCO/PHIP/TP or Standard Plan. Please ensure that a copy of this training is placed in your staff member's personnel file and kept up to date. Confirmation of this training for applicable staff will be reviewed by Network Monitoring during routine post-payment reviews.

Claims Timeline Changes 

On May 3, 2023, the State made the following changes to the Claims Filing Timeline for all the TP/PIHPs. This change supersedes Sandhills Center's April 1, 2023 announcement. The timely filing timeframe will be extended from 180 days to 365 days. The earliest effective date of this change will be July 1, 2023. The timely filing change will be required for all claims with service dates on and after July 1, 2023. This change directly impacts all Claims and Retroactive Enrollees' timely filing rules.

Jiva System to launch 4/1/2023 for all SAR Submissions

This is a reminder that Sandhills Center will be launching authorizations in Jiva on 4/1/2023. On March 22, 2023, all providers were sent a step-by-step guide for how to submit authorizations in Jiva for those who were unable to attend the training sessions provided on 2/17/2023, 2/24/2023, and 3/9/2023. We are also announcing a positive change in our authorization process, as the previous need to split authorizations between Alpha and Jiva will no longer be needed. Authorization requests will no longer be submitted in Alpha+ beginning 4/1/2023. At that time, all authorization requests -- regardless of date -- should be submitted through Jiva. Jiva is accessed by signing into Alpha+ and then clicking the green Jiva button at the top of the screen. Please submit an IT Ticket through the Provider Support Portal if you require any assistance. You may also contact the Provider Help Desk by phone at 1-855-777-4652, or send an email to ProviderHelpDesk@SandhillsCenter.org

For more information, visit the Provider Portal Training Guide - PDF

ABOUT THE SANDHILLS CENTER TAILORED PLAN AND NC MEDICAID DIRECT PROVIDER NETWORK

Sandhills Center is dedicated to helping you deliver services in accordance with state and federal standards.

Together, our goal is to provide quality care to our members and recipients, and their families, living in Anson, Davidson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond, and Rockingham counties.

We are honored to have you join us in helping people with behavioral and physical health needs, traumatic brain injuries (TBI), and intellectual/developmental disabilities (I/DD) to get the whole-person care they need to improve the quality of their lives. 

The Sandhills Center Behavioral Health and I/DD Tailored Plan and NC Medicaid Direct Provider Manual - PDF offers information that supports efficient and effective management of NC Medicaid Direct and the NC Medicaid Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan. The provider manual will help you become familiar with the policies and procedures you are required to follow. Each contracted provider is responsible for adhering to all policies and procedures outlined in the manual. Compliance is necessary to fulfill contractual obligations. 

Need assistance? Visit the Provider Support Portal

See our searchable directory: Sandhills Center Provider Directory

Provider Manual - PDF

Sandhills Center Quick Reference Guide for Providers - Download the Excel file

Still need help? Contact the Provider Help Desk:

• By phone - 1-855-777-4652
• By email - ProviderHelpDesk@SandhillsCenter.org