Blog Entry List

Providers are required to make adequate provision for return of any money incorrectly collected 

CCP 1A-39 has been updated to reflect changes in 1905(a) of the Social Security Act

Physician’s signature on the CMS 485 Plan of Care form

Provider reverification, Tailored Plans start date Oct. 1, upcoming key milestones, playbook updates, billing requirement modifications and more.

The waiver has received approval for another five years through Feb. 29, 2028.

Implementation guidelines reflect the Tailored Plan launch date of Oct. 1, 2023.

Quarterly assessment rate adjustments begin April 1, 2023

Process change for Providers identifying Other Found Insurance for NC Medicaid Managed Care Members

Effective April 1, 2023, NC Medicaid is updating its guidance around billable codes for social drivers of health.

Guidance for medication-assisted treatment in skilled nursing facilities

A new prior authorization is required for beneficiaries returning to NC Medicaid Direct

Register now for the diabetes self-management presentation on May 11 and adolescent immunization on May 16.

Effective with date of service, Dec. 21, 2022, the NC Medicaid and NC Health Choice programs cover piflufolastat F18 injection

Behavioral health prior authorizations effective April 1, 2023

Implementation of Tailored Plans, playbook update, Provider reverification, NC Health Choice move to Medicaid, NCTracks Provider records and more.