Blog Entry List

Look for details on training in June related to these changes.
States must revalidate the enrollment of all providers at least every five years to ensure the information on record is accurate and current.
Forum to be held Tuesday, June 25 in Concord.
Withdrawal Management Policies Delayed
The audit will sample fee-for-service claims collected for a full year – July 1, 2024, through June 30, 2025.
New separately reimbursable CPT codes in the ambulatory surgery setting
Recent State Plan Amendment outlines duties of a responsible third party
Revised policy in addition to services outlined in Maternity Coverage and Reimbursement Bulletin posted Oct. 23, 2023.
The Centers for Medicare & Medicaid Services has approved State Plan Amendments to revise reimbursement methodology.
Updates on the Sandata mobile app, telephony and fixed visit verification.
Providers should work with their Medicaid beneficiary’s health plan and Tailored Care Manager to transition the members to 1915(i) services.
Highlights from Year 2
The next review panel meeting is April 11, 2024
This website includes resources to assist with completing the NC Medicaid application and information about becoming a Medicaid Ambassador.
Tailored plans are all ready to launch on July 1, 2024.