Industry Resources

The following are important resources for NCMGMA members and the healthcare administration industry:

NCMGMA/NCMS Lunch & Learn Webinar

Top 10 Payer Contracting Tools: 2021 and Beyond - HANDOUTS
presented by Doral Jacobsen, MBA, FACMPE

Break Up Best Practices Tool Final (PDF)
Payer Relationship Checklist (PDF)
Proposal Evaluation Grid (PDF)
Setting Up To Succeed Payer Contracting Tool Kit (PDF)
Tell Your Story Tool Data to Value Prop (PDF)
Top 10 Payer Contracting Tools NC MGMA (PDF)
Value-Based Model Evaluation Matrix (PDF)

NCMGMA Event CEU Worksheets

NCMGMA members who passed their ACMPE exams in 2018 will have until 6/30/19 to complete the 50 hours of CE requirement.  We have attached CEU worksheets from our 2018-2019 events.

NCMSF Disaster Relief Foundation

The NCMS Foundation Disaster Relief Program helps cover expenses (not covered by insurance or other funding) related to relocating or rehabilitating a medical practice damaged by the current disaster, Hurricane Florence. This may include replacing equipment, aiding essential medical practice staff, rebuilding patient records, telephone system replacements, signage, medical laboratory supplies and other similar costs — all with the goal of helping physicians begin treating their patients again as soon as possible.

The application process to receive an NCMS Foundation Disaster Relief Program grant will open in the coming weeks. Please check the NCMS Disaster Preparedness and Resource Center page frequently for updates on this.

Please give today to the NCMS Foundation Disaster Relief Program.


Summary of Requirements for Medical Practices: January 2018

The NC Health Information Exchange Authority (NC HIEA) is a state-funded entity charged with overseeing and administering the NC Health Information Exchange Network (called NC HealthConnex). NC HealthConnex is a secure, electronic network that allows providers to share and access patient information. Below are key points you need to know. For additional details, visit

  • All healthcare providers who receive state funds (from NC Medicaid, NC State Employee Health Plan, etc.) are REQUIRED by NC law to be connected to NC HealthConnex (NCGS 90-414.7). A provider is ‘connected’ when clinical and demographic information pertaining to services paid for by Medicaid and other State-funded health care funds are being sent to NC HealthConnex at least twice daily. The state encourages information to be shared on all patients seen, but is not required. All practices participating are responsible for notifying patients whose data will be shared. Information regarding this notification is on the NC HealthConnex website. All HIPAA rules still apply regarding notification. Brochures that explain the NCHIE and their purpose are free to practices to distribute to anyone whose data will be shared. Patients do have the option to OPT-Out and those directions are listed on the NC HealthConnex website and in the brochures. Patients have to notify NCHIE for OPT-Out by signing the OPT-Out form and sending it into the NCHIE.
  • Providers who receive NC Medicaid payments must be connected to NC HealthConnex by June 1, 2018 in order to continue to receive payments for services provided. Providers who receive other state payments (NC State Employee’s Health Plan) must be connected by June 1, 2019. All other providers are encouraged to participate on a voluntary basis.
  • You can request an extension of these timeframes if you have a signed NC HIE Participation Agreement and demonstrate how your organization plans to connect to NC HealthConnex within 1 calendar year. Details can be found here:
  • The State does not currently charge a fee for connection to or use of NC HealthConnex. However, most EHR vendors do charge a fee for developing and/or maintaining the connection.
  • Participating providers can access data about their patients that has been submitted from other providers, including: allergies, encounters, immunizations, medications, problems, procedures , results and demographics. Psychotherapy notes and substance abuse records are not included except in cases of emergency treatment or patient authorization.
  • NC HealthConnex is a secure private network. The HIE is compliant with all Federal and state privacy and security laws, including HIPAA. They do not sell or share information with anyone other than your authorized health care providers.

NC HIE Deadlines & Updates

As we approach the first mandated deadline of June 1, 2018, NCMGMA leadership has been working directly with NCHIE and they have sent some information we thought would be helpful for our members. Please check out the HIE Toolkit by clicking on this link

If you have questions, please reach out to NCHIE directly, at [email protected] or via phone at 919.754.6912. You can also visit their website for other updates and general information at

Medicaid Managed Care Resource List

Our friends at NC AHEC have developed a comprehensive list of all the resources a medical practice needs as the state moves to Medicaid managed care in the coming months. This one-page compendium is a great quick reference to get you the information you need.

Access this valuable resource list

NC Medicaid Managed Care Suspension FAQs

For now, North Carolina will not move Medicaid to Managed Care. All health providers enrolled in Medicaid are still part of the program and will continue to submit claims through NCTracks as they do today.

Access Medicaid Managed Care FAQs for Providers

This committee was established to support NC MGMA members in navigating payer contracting arrangements.  The committee has three primary goals:

  1. Support members and payers in developing sustainable, collaborative relationships.
  2. Increase member awareness of key considerations relative to our state's payer contracting landscape.
  3. Serve as a resource for members in addressing overarching payer contracting issues.

The committee will not be working on any direct contract negotiations or language issues but instead will serve in an advisory role.  Our goal is to offer support through investing in payer/provider relationships through this committee.

Click here for more information.

Cigna Resources

For more information, please visit: