Summary network adequacy results for Standard Plans are available.
Blog Entry List
AMH Provider Manual 2.2 reflects North Carolina’s Integrated Care for Kids (InCK) pilot program expectations and changes that impact Advanced Medical Home Tier 3 contracts with Standard Plans.
The seven-part series covers current policies and procedures under the new NC Medicaid Managed Care guidelines.
Standard Plans temporarily extended minimum appeal timeframes to support the transition to NC Medicaid Managed Care.
This fall, NC Medicaid is releasing an updated series of provider enrollment training videos, which are required components of the provider enrollment.
Upcoming Key Milestone Dates, Playbook Updates, Request to Move to NC Medicaid Direct Process, Prior Authorizations, Frequently Asked Questions, Contracting Reminders, Ombudsman and Webinars
This form is for members who wish to change their primary care assignment throughout the year.
Information for providers to prepare for the reporting year 2023 Payment Error Rate Measurement audit.
All submissions are due Friday, Oct. 15, 2021.
Final Extension of Electronic Visit Verification Soft Launch for Prepaid Health Plans
All state Medicaid programs are required to incorporate methodologies.
The webinar series runs from October through mid-December.
The NCTracks provider record serves as the source of truth for managed care entities.
Prepaid health plans are required to pay interest and penalties to providers if they fail to accurately pay or inappropriately deny a claim.
Topics include key dates, playbook updates, prior authorization, FAQs, contracting, ombudsman, webinars and more.