Blog Entry List
Providers are encouraged to contact health plans to address any discrepancies in claim payment issues prior to escalating to the Provider Ombudsman
The 2025 ICD-10 update is effective Oct. 1, 2024, through Sept. 30, 2025, for provider use for dates of service within this period.
Guidance based on products approved by the FDA and recommended by the CDC Advisory Committee on Immunization Practices (ACIP).
Rate Changes are Effective Aug. 1, 2024
Effective Aug. 25, 2024, providers cannot modify an existing service location address in NCTracks without creating a new service location address
Coverage effective for dates of service from July 26, 2024
Clarification to recent policy and billing questions
Updates for providers on 1915(b)(3) services ending, new 1915(i) assessment tool and 1915(i) reassessments.
Users must update their NCID profile by Sept. 6, 2024.
Effective Sept. 1, 2024, NC Medicaid will begin covering condoms and spermicides as over-the-counter products, through the pharmacy benefit.
Hardship advances may be available for those at risk of not meeting financial obligations
Effective July 30, 2024, NC Medicaid temporarily paused coverage of HCPCS code A0998 (Ambulance response and treatment, no transport).
Describes findings from the third assessment of provider experience and satisfaction with the NC Medicaid program.
GDIT will no longer request supplemental information for undisclosed items discovered during the credentialing and background check process.
Two FASTEP COVID 19 AG HOME TEST NDCs added to coverage.