Effective July 1, 2025, NC Medicaid will provide coverage for CPT Code 81515 – Xpert® Xpress MVP
Topics Related to Bulletins
Reimbursement methodology changes revised to begin with dates of service on or after Dec. 1, 2024.
Standard Plans will reimburse the APM rate for claims with a date of service on or after Aug. 1, 2024.
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
The North Carolina Department of Health and Human Services (NCDHHS), through General Dynamics Information Technology, Inc. (GDIT), will establish a Credentialing Committee to review files that contain flagged items for disposition of their enrollment, reenrollment and recredentialing applications and issues discovered through ongoing monitoring. This will apply to all providers enrolling with:
Information on Provider Ombudsman, Children and Families Specialty Plan and Upcoming Credentialing Changes.
The Tailored Care Management payment rate is $294.86 effective July 1, 2025.
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
The strategy outlines visions and goals for NC Medicaid Managed Care for the next three years.
NCDHHS is pleased to announce the release of the 2021-2023 NC Medicaid Annual Quality Report.