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Provider Phone Line: 1-866-990-9712
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Welcome to the Smoky Mountain Center Provider Page!
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.
Important Notifications for Providers:
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Important Communication for Providers about Local Modifier Codes
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This is an important communication. The information detailed in this communication affects MANY providers. Please pay careful attention to the information below. Please ensure this communication is forwarded to your billing staff, billing vendor or clearing house representatives that may be responsible for submission of claims and claim files to SMC. Please click the link below for more information:
(SMC Communication #26-2013)-Local Modifiers
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Informational Meeting for PRTF/Residential Providers Held at MAHEC in Asheville on December 3rd
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SMC's goal for this session was to begin a conversation with providers of residential services for children and adolescents about: the current service environment, information regarding residential best practice, and how SMC would like to work with providers to improve long term treatment outcomes for children/adolescents and their families. In addition, practical and informative training regarding authorizations for PRTF / Residential services was also provided.
We have posted the Power Point presentation and accompanying handouts below as well as a link to MAHEC's website where the entire recorded session is available for viewing.
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2012-2013 QUARTERLY PROVIDER MEETINGS SCHEDULE
(All Providers)
January, April, July, October
1st Thursday, 10am - 12pm - Western Region
2nd Thursday, 10am - 12pm - Northern Region
2nd Thursday, 2 - 4pm - Central Region
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Who To Call During Waiver Implementation
SMC Medicaid Fraud and Abuse Hotline Poster
Cover Letter for the NC Innovations Manual
Final NC Innovations Manual with Forms
Relatives/Legal Guardians as Providers under the Innovations Waiver
Announcement of Community Guide Service Providers
NC Innovations Services Presentation
Provider Enrollment Application Request Form
Provider Network Change Form for Agencies and LIPs
LIP Office Site Quality Review Tool
SMC Provider Monitoring Training - August 2012
SMC-Adopted Practice Guidelines - April 2013
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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, Alleghany, 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.
Download the SMC
Provider Operations Manual
Updated 02/15/2013
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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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Copyright © 2009 - 2013 Smoky Mountain Center All Rights Reserved
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Privacy Policy
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