Blog Entry List
Evaluates the impact of the North Carolina Medicaid Transformation on primary care and obstetrics/gynecology (Ob/Gyn) practices
A delay in identifying individuals in NCTracks as dually eligible for Medicare and Medicaid has been discovered.
From Dec. 1, 2022, to June 30, 2023, they will receive an enhanced medical home payment of $20 per member per month.
Key milestones, playbook updates, verifying eligibility, reverification and more
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
Key milestones, playbook updates, verifying beneficiary eligibility, provider reverification, review provider record in NCTracks and more.
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
WellCare broker update, contracting with transportation brokers, emergent care reminder
CMS PERM audit educational provider webinar to be held in April 2022
Charter schools, as Local Education Agencies, are to participate in North Carolina Medicaid reimbursement.
Fact sheets that address questions related to the Standard Plan disenrollment process for children in foster care are now available.
Key dates, Playbook updates, Medicaid Direct, fabrication of eyeglasses, managed care eligibility for newborns, prior authorization, FAQs, Provider Ombudsman, Provider directory, PHP quick reference guides and help center.
Effective Oct. 1, 2021, immunizing pharmacists are authorized to administer Long Acting Injectable (LAI) medications.