Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more
Blog Entry List
The Centers for Medicare & Medicaid Services has extended this service through March 31, 2025
Use Standard Plan and Tailored Plan provider portals or Real-Time Eligibility Electronic Data Interchange Transactions 270/271.
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of March 1, 2025, was posted to the NC Medicaid Clinical Coverage Policy web page.
The PREP Act is extended to Dec. 31, 2029, expanding COVID-19 and flu vaccine access at pharmacy Point-of-Sale for ages 3 and older.
Effective Feb. 3, 2025, unless communicated otherwise by the Department
Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more.
Includes Consolidated Appropriations Act Section 5121 Guidance.
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.
Providers affected by Hurricane Helene have additional time to submit requests for services
NC Medicaid updates mental health and substance use disorder policies.
NC Medicaid is aware of challenges and concerns from retro-enrollment changes, particularly their impact on claims and recoupments.
NC Medicaid updates mental health and substance use disorder policies.
Effective Feb. 1, 2025, Clinical Coverage Policy 10A services for beneficiaries aged 21 and older may be provided by independent practitioner providers.