Reminder: NC Medicaid does not require Carolina Access/Advanced Medical Home referrals for specialty care.
Topics Related to Division of Health Benefits
NCTracks will align the suspension of DMH/DD/SUS health plans during the reverification process.
Individual provider enrollment and Additional Managed Care Options
Theme: “We’re All in This Together 3.0”
Effective April 1, 2025: NC Medicaid amended Clinical Coverage Policy 1G-2.
Policy is updated effective May 1, 2025
Effective May 1, 2025, NC Medicaid covers CPT 99483, Cognitive Assessment and Care Plan Service.
Effective May 1, 2025, NC Medicaid will provide coverage for CPT Code 0421U – ColoSense, a multi-target stool RNA-based colorectal cancer screening test.
Option to Create Secondary/Back-up Office Administrators
NC Medicaid implements a more efficient method for submitting revision requests in active Clinical Coverage Policies.