Two policies will be effective on Jan. 1, 2025, and posted to the NC Medicaid website.
Blog Entry List
Effective Jan. 1, 2025, the unit of reimbursement will change from a 15-minute increment to a daily per diem.
Includes information on vaccine reimbursement, billing, counseling coverage and Immunization Program/Vaccines for Children
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.
Providers who support Community Alternatives Programs for Children and or Disabled Adults Medicaid Beneficiaries enrolled in NC Medicaid Direct.
Enrolled providers must notify the Department at least 30 days prior to the effective date of a change of ownership.
For providers unable to provide services under an active, approved service plan due to the impacts of Hurricane Helene.
This survey provides a national standard for assessing beneficiaries’ health care experience.
Providers will continue to use NCTracks for all enrollment activities until further notice.
This bulletin applies to both NC Medicaid Direct and NC Managed Care health plans.
This bulletin contains information on updated flexibilities being implemented by NC Medicaid due to the Hurricane Helene Public Health Emergency.
Effective Dec. 1, 2024, some drug testing CPT codes will no longer be reimbursed in the outpatient setting.
NC Medicaid and the health plans are committed to supporting providers impacted by the devastating effects of Hurricane Helene. The following financial supports may be available to providers, even if they are unable to submit claims or perform services:
This is a reminder for providers related to the waivers the Centers for Medicare and Medicaid Services (CMS) approved for North Carolina.