Tobacco-related policy requirements will be effective starting on Jan. 1, 2027.
Blog Entry List
For more information, join the Virtual Office Hours webinar Thursday, June 5, 2025, at noon.
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
Changes to the NCTracks provider application are coming in 2025.
NC Medicaid implements a more efficient method for submitting revision requests in active Clinical Coverage Policies.
Effective May 1, 2025, NC Medicaid will provide coverage for CPT Code 0421U – ColoSense, a multi-target stool RNA-based colorectal cancer screening test.
Effective May 1, 2025, NC Medicaid covers CPT 99483, Cognitive Assessment and Care Plan Service.
Option to Create Secondary/Back-up Office Administrators
Committee to make final decisions on submitted applications, quality determinations and compliance with regulatory requirements.