Blog Entry List

Home Health Care Services: Soft Launch April 1, 2023 through June 30, 2023; Provider Selection of Electronic Visit Verification Vendor
The rates for HHCS shall be increased by 10% above the current fee schedule rate.
This report describes findings from the second assessment of provider experience and satisfaction with the NC Medicaid program.
Implementation is delayed until Oct. 1, 2023.
Claims submitted to a health plan have a timely filing claims processing deadline of 180 calendar days
This document provides guidance on what capacity building funds can be used for as well as the timeframes for use of the funds.
NC Medicaid is implementing new Managed Care Nursing Facility rates to support nursing facility providers and NC Medicaid members.
Note: This bulletin is replaced by NC Health Choice Move to Medicaid: Timeline for Claims Adjudication and Process for Prior Approvals.
Milestones, playbook updates, beneficiary assignment file, provider reverification, provider records, provider ombudsman, help center and webinars.
Includes Pharmacy Point of Sale, Physician Administered Drug Program and Outpatient Hospital Pharmacy
Last days for providers to have fully executed contracts with Tailored Plans to be included in the beneficiary choice period and auto-assignment.
Replaces the prior version issued in February 2022
A multidisciplinary care team will provide whole-person care management that addresses all of a beneficiary’s needs
Upcoming milestones, Provider Playbook updates, organizational Provider affiliation requirement, Beneficiary assignment file and more
We encourage stakeholders to provide feedback by Dec. 19, 2022.