Topics Related to Division of Health Benefits

Primary Care Provider (PCP) contracting deadline for Beneficiary Choice Period is Sept. 1, 2025.
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.