Topics Related to Division of Health Benefits
Includes information on new policies, tools and guidance, as well as several clarifications
Effective June 1, 2024, CPT codes are newly eligible for coverage.
Impacts NC Medicaid Managed Care Standard Plans, Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans and LME/MCOs.
Providers should work with the Tailored Plans and Tailored Care Managers to support Medicaid beneficiaries transitioning to 1915(i) services.
AMH Provider Manual May 2024 reflects all program modifications and changes that impact provider contracts and operations.
This bulletin applies to NC Medicaid Managed Care Standard Plans.The North Carolina Department of Health and Human Services (NCDHHS) is releasing updated information about the care management component of capitation payments to NC Medicaid Managed Care Standard Plans effective July 1, 2024.
Effective retroactive to April 1, 2023, Z31.430 and Z31.440 will be covered diagnosis codes in NCTracks.
Training for Providers begins Friday, June 28. Additional dates are listed in this bulletin.
This bulletin applies to NC Medicaid Managed Care and NC Medicaid Direct.NC Medicaid now covers Point of Care rapid testing for Syphilis and HIV with an effective date of Jan. 1, 2024. This new coverage is being added to address the rise of syphilis and congenital syphilis cases that have re-emerged as a public health threat both nationally and in North Carolina.
Medicaid corrected the reimbursement issue and reprocessed claims for nerve conduction tests performed by physical therapists.