LME/MCO Responsibilities
LME/MCO’s like Vaya Health have the following responsibilities for NC-TOPPS
Local oversight: MCOs are responsible for ensuring providers meet NC-TOPPS requirements
Provision of identification numbers: MCO Assigned Record Number and Common Name Data Service Number (CNDS#)
Verification of provider agencies: For QPs that sign up with a provider not currently in NC-TOPPS
Training and technical assistance: You are currently going through the training. For technical assistance email NCTOPPS@vayahealth.com
Changing of QP access: When members transfer to a new provider
LME/MCO mergers: The LME/MCO’s will work with NC-TOPPS to transition all open episodes. Active provider agencies that will no longer be with the lead LME-MCO after the merger should complete Episode Completions on their consumers before the merger