Several flexibilities will be available on Dec. 1, 2023, to ease provider burden and ensure Medicaid expansion beneficiaries receive needed care.
Blog Entry List
Updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023
Flexibilities extended while the Centers for Medicare & Medicaid Services reviews the Innovations and Traumatic Brain Injury Waiver amendments.
Starting in November 2023, Standard Plans and Medicaid Direct will reprocess claims without appropriate documentation of required codes.
Magellan Medicaid Administration, LLC has been awarded a contract to implement the solution, scheduled to launch in 2025.
Starting today, more than 260,000 people will receive a notification that they will get full Medicaid Benefits beginning Dec. 1, 2023.
This bulletin is replaced by Additional NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 published on Jan. 24, 2024.
Amended waiver submitted to the Centers for Medicare and Medicaid Services
Amended waiver submitted to the Centers for Medicare and Medicaid Services.
Appendix K flexibilities to continue if waiver amendment is not approved by Nov. 11, 2023
Beginning Nov. 6, 2023, Section Q Referrals should be made to Acentra
NC Medicaid is implementing changes due to Session Law 2023-14 and to implement additional clinical best practices for maternity care.
Instructions for providers requesting removal of NC Medicaid Direct members from their patient panel
Regulatory Reform Act in October 2023 Updates regarding the N.C. Health Information Exchange Authority
Effective Nov. 1, 2023, ambulance providers may receive reimbursement from NC Medicaid when they treat and stabilize a beneficiary at the scene.