Effective Dec. 1, 2024, some drug testing CPT codes will no longer be reimbursed in the outpatient setting.
NC Medicaid and the health plans are committed to supporting providers impacted by the devastating effects of Hurricane Helene. The following financial supports may be available to providers, even if they are unable to submit claims or perform services:
This is a reminder for providers related to the waivers the Centers for Medicare and Medicaid Services (CMS) approved for North Carolina.
Effective Oct. 1, 2024, NC Medicaid decreased the provider assessment rates
Effective Oct. 1, 2024, NC Medicaid decreased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment
Includes information on the Provider Ombudsman, NC Medicaid Webinars, Newly Effective Changes to Service Location Management, and more.
Timely submissions help reduce claim denials and payment delays.
Effective Oct. 1, 2024, genetic testing policies have been revised.
This is an update to a bulletin published on Sept. 26, 2024, regarding flexibilities related to Hurricane Helene for NC Medicaid beneficiaries.
Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries
Information on key benefits, copay exceptions and rates effective Oct. 1, 2024.
To support providers with the launch of Tailored Plans, certain Transition of Care policy flexibilities have been extended.
Guidance for providers directly billing Medicare for services provided to patients with retroactive Medicare enrollment dates
An amended version of Clinical Coverage Policy 5B, Orthotics and Prosthetics promulgated on July 15, 2024.
Provider Taxonomy codes required when submitting claims to Tailored Plans.