Provider guidance for submitting claims to health plans under NC Medicaid Managed Care
Topics Related to Bulletins
NC Medicaid is adding mid-level substance use treatment services to Standard Plans effective October 3.
Intended to Support Innovations Waiver Services Direct Care Worker Wage Increases
Includes information on provider recredentialing/reverification, Medicaid expansion and more.
The federal fee for Medicaid enrollment has increased to $709 for calendar year 2024.
Some services will receive rate increases effective Jan. 1, 2024
In the Feb. 1, 2022, bulletin, incorrect Maximum Allowable Rates were entered in the NC Medicaid Eyeglasses Dispensing Fee Schedule table.
Several flexibilities will be available on Dec. 1, 2023, to ease provider burden and ensure Medicaid expansion beneficiaries receive needed care.
Updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023
Starting in November 2023, Standard Plans and Medicaid Direct will reprocess claims without appropriate documentation of required codes.