Blog Entry List

Select services will continue temporary rate increases through Dec. 31, 2022.
Edits are scheduled to resume on July 1, 2022
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
New services address toxic stress and multiple non-medical needs
Some flexibilities will sunset on June 30, 2022
PA Resumes for Behavioral Health Services Effective July 15, 2022
Key milestones, playbook updates, verifying beneficiary eligibility, provider reverification, review provider record in NCTracks and more.
The estimated effective date for this policy update is Aug. 1, 2022.
Providers who do not contract with Tailored Plans by the deadlines risk losing patients
A new PA is required for beneficiaries returning to NC Medicaid Direct.
Coverage for single booster dose
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
New billable codes available Sept.1 to address social drivers of health
Prior to submitting an application for Advanced Medical Home/Care Management Agency Certification, please download and utilize the Provider Directory Listing Report.
Three claims processing edits to end with Public Health Emergency