The National Committee for Quality Assurance (NCQA) has developed a Kidney Health Toolkit to assist in bringing awareness to diabetes.
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A provider enrollment fee must be collected from Medicaid and NC Health Choice providers initially enrolling in, or revalidating their enrollment in, Medicare, Medicaid or NC Health Choice, or adding a new Medicare practice location.
Effective Nov. 1, 2021, involuntary disenrollments from the Program of All-inclusive Care for the Elderly will no longer be suspended for any reason.
Pfizer Pediatric COVID-19 vaccine is authorized for use under an Emergency Use Authorization for active immunization to prevent COVID-19.
Effective Oct. 1, 2021, immunizing pharmacists are authorized to administer Long Acting Injectable (LAI) medications.
This fall, NC Medicaid is releasing an updated series of provider enrollment training videos, which are required components of the provider enrollment.
Program Year 2021 is Closed and The Security Risk Analysis
Individual Provider Affiliation required for certain providers by Nov. 21, 2021. Keeping NCTracks records current can help claims processing.
In consideration of the evolving needs for PCS providers, in place of the outbreak rates, NC Medicaid will provide all PCS providers, including CAP/C and CAP/DA, a single, uniform, temporary rate increase that will enable them all to better address the various increased costs associated with staffing during the COVID-19 PHE.
The latest transition dates for county realignments.
This form is for members who wish to change their primary care assignment throughout the year.
The federal government has now extended the public health emergency (PHE) through Jan. 16, 2022.
Medicaid has become aware that some providers have rendered this service without obtaining prior approval.
Clinical Coverage Policy 1E-6, Transitioned to Pregnancy Management Program Effective July 1, 2021.
Effective Oct. 22, 2021, NC Medicaid-enrolled providers can bill code 99401 with HM modifier for telephone outreach to unvaccinated Medicaid beneficiaries.