Topics Related to Division of Health Benefits

Physician’s signature on the CMS 485 Plan of Care form
Provider reverification, Tailored Plans start date Oct. 1, upcoming key milestones, playbook updates, billing requirement modifications and more.
The waiver has received approval for another five years through Feb. 29, 2028.
Implementation guidelines reflect the Tailored Plan launch date of Oct. 1, 2023.
Quarterly assessment rate adjustments begin April 1, 2023
Guidance for medication-assisted treatment in skilled nursing facilities
Process change for Providers identifying Other Found Insurance for NC Medicaid Managed Care Members
Effective April 1, 2023, NC Medicaid is updating its guidance around billable codes for social drivers of health.
A new prior authorization is required for beneficiaries returning to NC Medicaid Direct
Register now for the diabetes self-management presentation on May 11 and adolescent immunization on May 16.