Topics Related to Division of Health Benefits

Every page of the NCTracks provider record should be assessed for accuracy.

Pfizer & Moderna Bivalent COVID-19 booster vaccine billing and claims information

The 2023 ICD-10 update is effective Oct. 1, 2022, through Sept. 30, 2023, for provider use for dates of service within this period.

Providers should contact the PHPs and Provider Ombudsman to resolve issues.

Key milestones, playbook updates, verifying eligibility, provider reverification, provider records, behavioral health services transition and more

Updates to Clinical Coverage Policy 1A-5 with an effective date of Sept. 2, 2022.

What services are available, in which regions, and how providers can refer patients.

Updates on Tailored Plan criteria review, eligibility criteria, enrollment and health care options, and resources for Beneficiaries and Providers.

Providers shall not bill a NC Medicaid beneficiary for services furnished to a beneficiary who the provider has accepted as a Medicaid patient.