Reimbursement methodology changes revised to begin with dates of service on or after Dec. 1, 2024.
Topics Related to Division of Health Benefits
Standard Plans will reimburse the APM rate for claims with a date of service on or after Aug. 1, 2024.
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
The North Carolina Department of Health and Human Services (NCDHHS), through General Dynamics Information Technology, Inc.
Information on Provider Ombudsman, Children and Families Specialty Plan and Upcoming Credentialing Changes.
The Tailored Care Management payment rate is $294.86 effective July 1, 2025.
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
The strategy outlines visions and goals for NC Medicaid Managed Care for the next three years.
NCDHHS is pleased to announce the release of the 2021-2023 NC Medicaid Annual Quality Report.
NC Medicaid has released a new online tool for beneficiaries to compare the five available Standard Plans. The 2025 NC Medicaid Standard Plan Performance Comparison Tool is now available online.