Blog Entry List
To support providers during the recent COVID-19 surge, the policy for in-network provider provisions has been extended
Ensure compliance with the HCBS final rule and prepare Tailored Plans and Providers for the launch of Tailored Care Management.
May be available for those at risk of not meeting financial obligations
Claims may be submitted to NCTracks for all IFSP services for dates of service starting on July 1, 2021.
Coverage season will begin Aug. 15, 2021
The extension granted through the hardship process is now matched by the extension granted through new legislation.
Not required for medications administered at the provider’s office or outpatient hospital clinic settings and billed as part of the professional claim (Physician Administered Drug Program).
NC Medicaid advanced 54 providers to the site review stage.
All responses have been received and are available.
Providers and pharmacies should always use NCTracks to confirm eligibility.
Guidance to pharmacies on prior authorizations that transfer from a health plan to NC Medicaid Direct.
When an NC Medicaid Managed Care member becomes part of a population exempted or excluded, they are disenrolled and transition to NC Medicaid Direct.
Key milestones, playbook updates, prior authorizations, FAQs, contracting, ombudsman, webinars and more.
Three Months Left to Submit Program Year 2021 Attestations and the Security Risk Analysis.