Blog Entry List
Additional clarification about Nurse Practitioner credentialing requirements
Claims may be submitted to NCTracks for all IFSP services for dates of service starting on July 1, 2021.
Coverage season will begin Aug. 15, 2021
Not required for medications administered at the provider’s office or outpatient hospital clinic settings and billed as part of the professional claim (Physician Administered Drug Program).
The extension granted through the hardship process is now matched by the extension granted through new legislation.
All responses have been received and are available.
NC Medicaid advanced 54 providers to the site review stage.
Providers and pharmacies should always use NCTracks to confirm eligibility.
When an NC Medicaid Managed Care member becomes part of a population exempted or excluded, they are disenrolled and transition to NC Medicaid Direct.
Guidance to pharmacies on prior authorizations that transfer from a health plan to NC Medicaid Direct.
Providers must submit a contact lens prior approval request to NCTracks for a beneficiary who has transferred back to NC Medicaid Direct.
Providers must submit ALL eyeglasses prior approval requests for NC Medicaid Direct beneficiaries and health plan members to NCTracks.
Key milestones, playbook updates, prior authorizations, FAQs, contracting, ombudsman, webinars and more.
The State solution for reporting electronic visit verification and aggregation is Sandata.
Three Months Left to Submit Program Year 2021 Attestations and the Security Risk Analysis.