Blog Entry List
Quarterly assessment rate adjustments begin April 1, 2023
Effective April 1, 2023, NC Medicaid is updating its guidance around billable codes for social drivers of health.
Guidance for medication-assisted treatment in skilled nursing facilities
Process change for Providers identifying Other Found Insurance for NC Medicaid Managed Care Members
A new prior authorization is required for beneficiaries returning to NC Medicaid Direct
Effective with date of service, Dec. 21, 2022, the NC Medicaid and NC Health Choice programs cover piflufolastat F18 injection
Register now for the diabetes self-management presentation on May 11 and adolescent immunization on May 16.
Behavioral health prior authorizations effective April 1, 2023
Implementation of Tailored Plans, playbook update, Provider reverification, NC Health Choice move to Medicaid, NCTracks Provider records and more.
Lantus® SoloStar® / Vial will move to preferred on the NC Medicaid Preferred Drug List, effective March 24, 2023.
Rate increases continuing and effects on managed care plans and contracted providers
Updated information about the assumptions underlying the care management component of capitation payments to Standard Plans
Tobacco-related policy requirements go into effect on April 1, 2024.
As of April 1, 2023, all NC Health Choice beneficiaries with active eligibility will be moved to Medicaid.
Providers for whom reverification was delayed are being organized into groups to ensure reverification is completed timely.