The Centers for Medicare & Medicaid Services (CMS) requires individuals in the NC Medicaid Innovations waiver program to have a valid and comprehensive assessment.
Blog Entry List
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements.
Budget proposals from the North Carolina General Assembly do not include funding for Healthy Opportunities Pilots services beyond June 30, 2025
Tobacco-related policy requirements will be effective starting on Jan. 1, 2027.
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
Effective May 1, 2025, NC Medicaid will provide coverage for CPT Code 0421U – ColoSense, a multi-target stool RNA-based colorectal cancer screening test.
Option to Create Secondary/Back-up Office Administrators
NC Medicaid implements a more efficient method for submitting revision requests in active Clinical Coverage Policies.