Blog Entry List
Care Management rate considerations effective July 1, 2025.
Reminder: NC Medicaid does not require Carolina Access/Advanced Medical Home referrals for specialty care.
NCTracks will align the suspension of DMH/DD/SUS health plans during the reverification process.
Individual provider enrollment and Additional Managed Care Options
Theme: “We’re All in This Together 3.0”
Effective April 1, 2025: NC Medicaid amended Clinical Coverage Policy 1G-2.
Policy is updated effective May 1, 2025
Option to Create Secondary/Back-up Office Administrators
NC Medicaid implements a more efficient method for submitting revision requests in active Clinical Coverage Policies.
Changes to the NCTracks provider application are coming in 2025.
Effective May 1, 2025, NC Medicaid covers CPT 99483, Cognitive Assessment and Care Plan Service.
Effective May 1, 2025, NC Medicaid will provide coverage for CPT Code 0421U – ColoSense, a multi-target stool RNA-based colorectal cancer screening test.
Committee to make final decisions on submitted applications, quality determinations and compliance with regulatory requirements.
Public Comments Requested by May 30, 2025.
Providers should be aware of recent changes for Skilled Nursing Facilities, Hospice Organizations, and Portable X-ray Suppliers taxonomies.