Qualifying Medicaid Standard Plan members in 33 North Carolina counties may receive housing and transportation services.
Blog Entry List
WellCare broker update, contracting with transportation brokers, emergent care reminder
Capacity building FAQs, guidance on the use of extenders, standard terms and conditions, and Provider Manual updates.
CMS PERM audit educational provider webinar to be held in April 2022
NC Medicaid has released an updated series of provider enrollment training videos, which are required components of the provider enrollment process.
Provider manual updated, guidance on the use of extenders, updated rate guidance and webinar series FAQs.
Desk reviews of round two AMH+ practices/ CMAs provider applications are completed and 32 providers advanced to the site review stage.
Upcoming Key Milestones, Playbook Updates, COVID-19 Vaccine Incentive Program, Provider Authorizations, Provider Ombudsman and more.
The following guidance applies to AMH Tier 3 practices not participating in the NC Integrated Care for Kids (InCK) pilot project.
Under NC Medicaid Managed Care, the nursing facility level of care is approved by the Medicaid beneficiary’s assigned PHP.
Tobacco-related policy requirements go into effect on Dec. 1, 2022.
Provides an overview of the Department’s plans for promoting high-quality care through managed care and provides specific details to the measurement for the goals and objectives of the Department’s Quality Strategy.
Since the launch of NC Medicaid Managed Care on July 1, 2021, providers have submitted claims to the prepaid health plans (PHPs) for services provided to beneficiaries who are enrolled with that PHP.
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.