Blog Entry List
Timely submissions help reduce claim denials and payment delays.
Updates based on the implementation of new Office of Management and Budget labor market delineations published August 6.
Effective Oct. 1, 2024, NC Medicaid decreased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment
Includes information on the Provider Ombudsman, NC Medicaid Webinars, Newly Effective Changes to Service Location Management, and more.
Effective Oct. 1, 2024, NC Medicaid decreased the provider assessment rates
This is an update to a bulletin published on Sept. 26, 2024, regarding flexibilities related to Hurricane Helene for NC Medicaid beneficiaries.
Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries
To support providers with the launch of Tailored Plans, certain Transition of Care policy flexibilities have been extended.
Information on key benefits, copay exceptions and rates effective Oct. 1, 2024.
An amended version of Clinical Coverage Policy 5B, Orthotics and Prosthetics promulgated on July 15, 2024.
Provider Taxonomy codes required when submitting claims to Tailored Plans.
Guidance for providers directly billing Medicare for services provided to patients with retroactive Medicare enrollment dates
Providers are encouraged to contact health plans to address any discrepancies in claim payment issues prior to escalating to the Provider Ombudsman
The 2025 ICD-10 update is effective Oct. 1, 2024, through Sept. 30, 2025, for provider use for dates of service within this period.