Blog Entry List

Withdrawal Management Policies Delayed
The audit will sample fee-for-service claims collected for a full year – July 1, 2024, through June 30, 2025.
Recent State Plan Amendment outlines duties of a responsible third party
New separately reimbursable CPT codes in the ambulatory surgery setting
Providers should work with their Medicaid beneficiary’s health plan and Tailored Care Manager to transition the members to 1915(i) services.
Revised policy in addition to services outlined in Maternity Coverage and Reimbursement Bulletin posted Oct. 23, 2023.
Highlights from Year 2
The next review panel meeting is April 11, 2024
Tailored plans are all ready to launch on July 1, 2024.
This website includes resources to assist with completing the NC Medicaid application and information about becoming a Medicaid Ambassador.
Includes information on Provider Fact Sheets, LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks and more.
Tobacco-Related Policy Requirements Delayed until July 1, 2027
Additional Provider Flexibilities to Support Providers during Change Healthcare Disruption
Effective Feb. 16, 2024, individuals requesting to receive services may be placed on a waitlist.
Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)