NC Medicaid Managed Care Incremental Innovations Waiver DCW Rate Increases effective October 1, 2026, retroactive to July 1, 2026.
Topics Related to Division of Health Benefits
The Centers for Medicare & Medicaid Services released the 2027 ICD-10 code list, Effective Oct. 1, 2026.
Including a behavioral health post-enrollment accreditation update, recent provider communications and more.
NC Medicaid Launching New Services for Eligible Justice-Involved Youth under CAA 5121 in all Youth Development Centers.
NC Medicaid has contracted with Health Management Systems to conduct Overpayment Recovery Reviews for Medicaid beneficiaries.
Providers selected for quarterly NC Medicaid Internal Audits will be notified only using the QiRePort Provider Interface.
Important information for Behavioral Health organization providers, including those enrolled in taxonomy 251S00000X.
Updating the date format requirement for Hospital UR Plan submission.
Redistributing Previously Approved Shared Private Duty Nursing Hours Among Service Providers without a New CMS-485 or PDN Ordering Provider Order, Effective September 1, 2026
Beginning Nov. 1, 2026, Pharmacy Claims for controlled substances will be denied without an active certification on their NCTracks provider enrollment record.