Topics Related to Bulletins

CSR 2814-Updates to Provider Suspension Process for Division of Mental Health, Developmental Disabilities and Substance Use Services (DMH/DD/SUS) Health Plans Effective June 1, 2025

NCTracks will align the suspension of DMH/DD/SUS health plans during the reverification process.

Carolina ACCESS Enrollment Refresher

Individual provider enrollment and Additional Managed Care Options

NC Medicaid Long Term Care and Services and Supports Forum June 4-5, 2025

Theme: “We’re All in This Together 3.0”

Clinical Coverage Policy Update 1G-2 Skin Substitutes

Effective April 1, 2025: NC Medicaid amended Clinical Coverage Policy 1G-2.

Changes to the Clinical Coverage Policy: 1E-7: Family Planning Services

Policy is updated effective May 1, 2025

Cognitive Assessment and Care Plan Service

Effective May 1, 2025, NC Medicaid covers CPT 99483, Cognitive Assessment and Care Plan Service.

Adding Coverage of CPT Code 0421U – ColoSense Multi-Target Stool RNA-Based Colorectal Cancer Screening

Effective May 1, 2025, NC Medicaid will provide coverage for CPT Code 0421U – ColoSense, a multi-target stool RNA-based colorectal cancer screening test.

Utilizing Managing Relationship (MR) User Role in NCTracks

Option to Create Secondary/Back-up Office Administrators

NC Medicaid Streamlines Process for Clinical Coverage Policy Revision Requests  

NC Medicaid implements a more efficient method for submitting revision requests in active Clinical Coverage Policies.

Upcoming Provider Application Changes

Changes to the NCTracks provider application are coming in 2025.