Blog Entry List
Allows Home and Community Based Services for individuals with behavioral health, intellectual/developmental disabilities and traumatic brain injury.
All Home Health Care providers are expected to be fully compliant with requirements on Aug. 1
Effective immediately, all providers must use the Electronic Visit Verification vendor of their choice for every home health visit.
Implementation guidelines reflect the Tailored Plan launch date of Oct. 1, 2023.
Process change for Providers identifying Other Found Insurance for NC Medicaid Managed Care Members
A new prior authorization is required for beneficiaries returning to NC Medicaid Direct
Behavioral health prior authorizations effective April 1, 2023
As of April 1, 2023, all NC Health Choice beneficiaries with active eligibility will be moved to Medicaid.
Home Health Care Services: Soft Launch April 1, 2023 through June 30, 2023; Provider Selection of Electronic Visit Verification Vendor
This report describes findings from the second assessment of provider experience and satisfaction with the NC Medicaid program.
NC Medicaid is implementing new Managed Care Nursing Facility rates to support nursing facility providers and NC Medicaid members.
Policy updates for NC Medicaid Direct beneficiaries in the Obstetrical Services and Pregnancy Management Program policies, retroactive to Jan. 1.
Note: This bulletin is replaced by NC Health Choice Move to Medicaid: Timeline for Claims Adjudication and Process for Prior Approvals.
Key milestones, playbook updates, verifying eligibility, provider reverification, provider records, behavioral health services transition and more
The adjudication of some prior approvals will be performed by GDIT Fiscal Agent Operations Reviewers instead of clinical reviewers at NC Medicaid