Topics Related to Division of Health Benefits
NC Medicaid is implementing new Managed Care Nursing Facility rates to support nursing facility providers and NC Medicaid members.
Milestones, playbook updates, beneficiary assignment file, provider reverification, provider records, provider ombudsman, help center and webinars.
Providing A Dental Home for Children and Youth with Special Health Care Needs
Changes for providers and beneficiaries effective April 1, 2023, when NC Health Choice beneficiaries transition to Medicaid.
Approved on Jan. 25, 2023, with an effective date of Dec. 1, 2022
The applicable ICD-10-Codes will be retroactive back to Jan. 1, 2023.
Includes Pharmacy Point of Sale, Physician Administered Drug Program and Outpatient Hospital Pharmacy
This billing guidance supplements clinical policies and Medicaid bulletins.
The insulin glargine vial and insulin glargine Solostar® will be added as Preferred on the NC Medicaid Preferred Drug List, effective Jan. 27, 2023.