Blog Entry List

Providers who do not contract with Tailored Plans by the deadlines risk losing patients
Coverage for single booster dose
A new PA is required for beneficiaries returning to NC Medicaid Direct.
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
Beginning Jan. 1, 2023, substantive portion means more than half of the total time spent by the physician and NPP performing the shared/split visit
An updated version of the policy with an amendment date of May 15, 2022, is posted.
Three claims processing edits to end with Public Health Emergency
Prior to submitting an application for Advanced Medical Home/Care Management Agency Certification, please download and utilize the Provider Directory Listing Report.
Reminder: Point of Sale Billing Authorized in January
Designed to improve communication access for Medicaid and NC Health Choice beneficiaries who are Deaf, Deaf-Blind and Hard of Hearing
Medicaid and NC Health Choice programs cover sutimlimab-jome injection, for intravenous use
Qualifying Medicaid Standard Plan members in 33 North Carolina counties may receive housing and transportation services.
WellCare broker update, contracting with transportation brokers, emergent care reminder
Data and clarifications on the DCW One-Time Bonus