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Topics Related to Bulletins
NC Medicaid advanced 54 providers to the site review stage.
Not required for medications administered at the provider’s office or outpatient hospital clinic settings and billed as part of the professional claim (Physician Administered Drug Program).
The extension granted through the hardship process is now matched by the extension granted through new legislation.
Providers and pharmacies should always use NCTracks to confirm eligibility.
Key milestones, playbook updates, prior authorizations, FAQs, contracting, ombudsman, webinars and more.
The State solution for reporting electronic visit verification and aggregation is Sandata.
When an NC Medicaid Managed Care member becomes part of a population exempted or excluded, they are disenrolled and transition to NC Medicaid Direct.
Providers must submit ALL eyeglasses prior approval requests for NC Medicaid Direct beneficiaries and health plan members to NCTracks.
Guidance to pharmacies on prior authorizations that transfer from a health plan to NC Medicaid Direct.