Blog Entry List
Effective Sept. 1, 2024, hospital OST claims submitted to NCTracks must include the individual OPR NPI.
Two FASTEP COVID 19 AG HOME TEST NDCs added to coverage.
Flexibilities effective Aug. 6, 2024, for NC Medicaid beneficiaries due to Tropical Storm Debby.
Reminders for NC Medicaid Providers related to transitions at Tailored Plan Launch.
Changes are effective Aug. 1, 2024
This bulletin provides guidance to providers caring for NC Medicaid beneficiaries also enrolled in Marketplace coverage through HealthCare.gov.
Effective Aug. 1, 2024, Medicaid will require a primary diagnosis of spinal subluxation for NC Medicaid Direct claims.
Providers need to submit new prior authorizations (PA) for services subject to 42 Code of Federal Regulations (CFR) Part II.
Effective Aug. 1, 2024, over the counter oral contraceptive Opill will be available without a prescription, at no cost.
Effective Aug. 1, 2024, NC Medicaid will cover obesity management medications for beneficiaries 12 years of age and older.
Standard Plans will begin to reimburse the APM rate for claims with a date of service on or after Aug. 1, 2024.
Effective Dec. 1, 2023, updates increased treatment visit limits for beneficiaries aged 21 and older. The home health ordering practitioner reference was also updated.
Effective June 1, 2024, CPT codes are newly eligible for coverage.
Includes information on new policies, tools and guidance, as well as several clarifications
Impacts NC Medicaid Managed Care Standard Plans, Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans and LME/MCOs.