Topics Related to Division of Health Benefits

Providers should work with their Medicaid beneficiary’s health plan and Tailored Care Manager to transition the members to 1915(i) services.

Revised policy in addition to services outlined in Maternity Coverage and Reimbursement Bulletin posted Oct. 23, 2023.

Updates on the Sandata mobile app, telephony and fixed visit verification.

The Centers for Medicare & Medicaid Services has approved State Plan Amendments to revise reimbursement methodology.

The next review panel meeting is April 11, 2024

This website includes resources to assist with completing the NC Medicaid application and information about becoming a Medicaid Ambassador.

Tailored plans are all ready to launch on July 1, 2024.

Includes information on Provider Fact Sheets, LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks and more.

Impacts NC Medicaid Managed Care Standard Plans, Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans and LME/MCOs.