Topics Related to Division of Health Benefits
Claims submitted with missing or invalid billing, rendering, and/or attending provider taxonomy codes is a top reason for claim denials
Effective Nov. 3, 2022, fee schedules currently listed on the NC Medicaid website will move to a new public fee schedule and covered code website.
Effective Aug. 1, 2022, Medicaid and NC Health Choice cover measles, mumps and rubella vaccine, live, suspension for subcutaneous injection (Priorix)
Adds Behavioral Health and Social Service Providers
Medicaid and NC Health Choice programs cover monkeypox vaccine Jynneos™
Town hall and training webinars for vendors and providers
Update for Providers Using Alternate Electronic Visit Verification: Visit Capture Home and Community Defined
NCDHHS delays the implementation of Tailored Plans until April 1, 2023. Specific new services will still go live Dec. 1, 2022.
Certified Tailored Care Management Providers Completed Readiness and Application Period Open for Round 3 Tailored Care Management Certification.
Certain vaccinations must be offered to Medicaid-eligible beneficiaries without a co-pay charge.