Topics Related to Division of Health Benefits

NC Medicaid will continue the current Tailored Care Management temporary payment rate of $343.97 statewide through June 30, 2025.
Includes information on Change of Ownership Requirement, Upcoming Webinars, and more.
Effective Jan. 1, 2025, the unit of reimbursement will change from a 15-minute increment to a daily per diem.
Two policies will be effective on Jan. 1, 2025, and posted to the NC Medicaid website.
Includes information on vaccine reimbursement, billing, counseling coverage and Immunization Program/Vaccines for Children
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.
Enrolled providers must notify the Department at least 30 days prior to the effective date of a change of ownership.
Providers who support Community Alternatives Programs for Children and or Disabled Adults Medicaid Beneficiaries enrolled in NC Medicaid Direct.
For providers unable to provide services under an active, approved service plan due to the impacts of Hurricane Helene.
Providers will continue to use NCTracks for all enrollment activities until further notice.