Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more.
Blog Entry List
Providers affected by Hurricane Helene have additional time to submit requests for services
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.
Includes Consolidated Appropriations Act Section 5121 Guidance.
NC Medicaid updates mental health and substance use disorder policies.
NC Medicaid is aware of challenges and concerns from retro-enrollment changes, particularly their impact on claims and recoupments.
To reduce the provider administrative burden during the enrollment application process, an important update has been made.
NC Medicaid updates mental health and substance use disorder policies.
Effective Feb. 1, 2025, Clinical Coverage Policy 10A services for beneficiaries aged 21 and older may be provided by independent practitioner providers.
Effective Feb. 1, 2025, updated unit limitations will be applied to some allergy testing and immunotherapy CPT codes.
Children with NC Medicaid temporarily living in another state can get a free Vaccine for Children (VFC) vaccine from any VFC provider in that state.
Effective with date of service Jan. 1, 2025, new CPT codes have been added, some end-dated, and descriptions of some existing codes have been updated
This bulletin has updated end dates & additional flexibilities for Behavioral Health, Care Management, Innovations, and Long-Term Services & Supports.
This is an update to the September 2016 Medicaid Ordering, Prescribing or Referring Special Bulletin.
The federal fee for Medicaid enrollment has increased to $730 for calendar year 2025.