Provider and member satisfaction are critical to our business. Not only do we routinely monitor and survey our providers, we offer them access to high-quality and efficient administrative tools, allowing them more time to focus on delivering care. Our fully integrated business platforms work to better serve the state, our providers and members. We recognize the importance of accurate and timely payments to our providers and consistently perform in the 99th percentile for both measurements, contributing to our successful management of care and cost.
Read about the partnership between
Cardinal Innovations and Recovery Innovations.
Network Management staff is committed to working closely with our providers to ensure they have what they need to better serve our members. We collaborate with providers to ensure the provision of high quality care for our members and timely reimbursement to our providers for the care provided.
Network Management is responsible for identifying service gaps,
contracting with providers and enrolling them in the Cardinal Innovations' Provider Network.
In addition, Network Management provides training and other informative provider communications such as the Provider Manual,
Communication Bulletins and the InfoSource newsletter.
Home and Community-Based Services (HCBS)
The Home and Community-Based Services training was specifically created to familiarize providers with the federal HCBS rule and its implications. The characteristics of the new HCBS rule apply to the following NC Innovations Waiver services: Day Supports, Residential Supports, and Supported Employment.is a part of the Cardinal Innovations (CI) Enterprise technology offering a secure online application that allows direct electronic data communication between providers and Cardinal Innovations. For more information, follow the link below:
Home and Community-Based Services (HCBS) >
Provider Direct is a part of the Cardinal Innovations (CI) Enterprise technology offering a secure online application that allows direct electronic data communication between providers and Cardinal Innovations. For instructions on how to obtain a Provider Direct login, see
Tasks Required to Obtain a Provider Direct Login.
Quality Management works closely with network providers to improve services delivered to our members and their families, offering guidance and training. Quality Management is responsible for overall monitoring of internal and external service quality to meet federal and state standards and regulations.
A Quality Management specialist is assigned to each contracted provider agency and licensed independent practitioner in Cardinal Innovations' service area. We maintain a list of assigned Quality Management specialists by agency and contact information on our website.
Cardinal Innovations Business Solutions, also known as the Service Center, brings together all functions involved in the claims payment process, including provider enrollment, contracting, member eligibility and the processing of claims. Our model is designed to employ highly integrated state-of-the-art technology to support business processes.
As a cross-functional department, the Service Center delivers increased efficiency resulting in lower administrative costs to Cardinal Innovations' providers across the state. Standardized operating procedures, structured communication through our management system, and dedicated professionals who perform these functions enhance customer service for our providers. These efforts further advance Cardinal Innovations' ability to provide exceptional managed care for individuals with complex needs.
Cardinal Innovations strives to be culturally and linguistically competent as a part of its clinical process.
Cultural and linguistic competence refers to the importance of culture and language as part of service development and delivery.
Cultural competence encourages professionals and staff to be culturally aware and respond in culturally appropriate ways when working with diverse populations. How we communicate is essential to providing the services members need. We believe that service delivery should be responsive and respectful of the member's culture.
Culture is considered beginning with the initial contact with a member or family member through the assessment phase, treatment and discharge. Our clinical process is designed to provide equal access to services for diverse communities.
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550 S Caldwell St, Charlotte, NC 28202