NCDHHS will delay the implementation of North Carolina Standard Plan and Tailored Plan Tobacco-Free Policy requirements.
Blog Entry List
Key milestones, playbook updates, beneficiary eligibility, reverification, provider records, provider ombudsman, help center and webinars.
Form for nursing facilities and health plans to communicate with DSS
Claims submitted with missing or invalid billing, rendering, and/or attending provider taxonomy codes is a top reason for claim denials
NCDHHS delays the implementation of Tailored Plans until April 1, 2023. Specific new services will still go live Dec. 1, 2022.
Certified Tailored Care Management Providers Completed Readiness and Application Period Open for Round 3 Tailored Care Management Certification.
Join DHHS Sept. 29, 2022, at 3:30 p.m. for more information. Statement of intent due Nov. 10, 2022.
Key milestones, playbook updates, verifying eligibility, provider reverification, provider records, behavioral health services transition and more
Providers should contact the PHPs and Provider Ombudsman to resolve issues.
Attention Standard Plans/Tailored Plans/HHA Exchange/CareBridge and Healthy Blue
Updates on Tailored Plan criteria review, eligibility criteria, enrollment and health care options, and resources for Beneficiaries and Providers.
What services are available, in which regions, and how providers can refer patients.
NC Medicaid is working with Standard Plans to create easier pathways for providers to reach Standard Plans and resolve panel issues.
Provider manual update, guidance on position qualifications, phased assignment approach for Tailored Care Management providers and more.
NC Medicaid is sharing a list of member counts for Advanced Medical Home practices affiliated with Tailored Plans