Topics Related to Division of Health Benefits

Effective Aug. 1, 2022, only the technical component of an onsite radiology service performed at FQHCs/RHCs will be separately reimbursed by Medicaid
Edits are scheduled to resume on July 1, 2022
New services address toxic stress and multiple non-medical needs
New series begins June 16, 2022
As NC Medicaid's managed care launch date approaches, Advanced Medical Home (AMH) providers who believe they are not ready to meet program requirements to perform at the tier level to which they attested may now submit a request to change their AMH Tier status from Tier 3 to Tier 2. The AMH Tier 3 providers may not downgrade lower than AMH Tier 2.
In accordance with the North Carolina Medicaid State Plan, Federally Qualified Health Centers and Rural Health Centers may request a rate adjustment due to change in scope of services.