The federal fee for Medicaid enrollment has increased to $688 for calendar year 2023.
Blog Entry List
Claims submitted to a health plan have a timely filing claims processing deadline of 180 calendar days
Note: This bulletin is replaced by NC Health Choice Move to Medicaid: Timeline for Claims Adjudication and Process for Prior Approvals.
Policy updates for NC Medicaid Direct beneficiaries in the Obstetrical Services and Pregnancy Management Program policies, retroactive to Jan. 1.
NC Medicaid is implementing new Managed Care Nursing Facility rates to support nursing facility providers and NC Medicaid members.
This document provides guidance on what capacity building funds can be used for as well as the timeframes for use of the funds.
Milestones, playbook updates, beneficiary assignment file, provider reverification, provider records, provider ombudsman, help center and webinars.
Providing A Dental Home for Children and Youth with Special Health Care Needs
The applicable ICD-10-Codes will be retroactive back to Jan. 1, 2023.
Approved on Jan. 25, 2023, with an effective date of Dec. 1, 2022
Changes for providers and beneficiaries effective April 1, 2023, when NC Health Choice beneficiaries transition to Medicaid.
This billing guidance supplements clinical policies and Medicaid bulletins.
Proposed CAP/C Waiver renewal application submitted to CMS for review and approval
The insulin glargine vial and insulin glargine Solostar® will be added as Preferred on the NC Medicaid Preferred Drug List, effective Jan. 27, 2023.