In recent months, NC Medicaid has published three survey reports that detail the experiences of beneficiaries and providers in North Carolina during 2024.
Blog Entry List
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
Primary Care Provider (PCP) contracting deadline for Beneficiary Choice Period is Sept. 1, 2025.
Effective July 1, 2025, NC Medicaid will provide coverage for CPT Code 81515 – Xpert® Xpress MVP
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
The North Carolina Department of Health and Human Services (NCDHHS), through General Dynamics Information Technology, Inc. (GDIT), will establish a Credentialing Committee to review files that contain flagged items for disposition of their enrollment, reenrollment and recredentialing applications and issues discovered through ongoing monitoring. This will apply to all providers enrolling with:
Information on Provider Ombudsman, Children and Families Specialty Plan and Upcoming Credentialing Changes.
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
The Tailored Care Management payment rate is $294.86 effective July 1, 2025.
The strategy outlines visions and goals for NC Medicaid Managed Care for the next three years.
NCDHHS is pleased to announce the release of the 2021-2023 NC Medicaid Annual Quality Report.
Updated guidance for forms NC Medicaid 372-124 and DMA-0100.
Providers can continue billing Diagnosis Related Group claims using revenue code 0161 for room and board and occurrence span code 82.
Tobacco-related policy requirements will be effective Jan. 1, 2027.
Temporary flexibilities to the Innovations Waiver after Hurricane Helene are ending July 1, 2025.