Blog Entry List
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.
Quarterly assessment rate adjustments begin April 1, 2023
Implementation guidelines reflect the Tailored Plan launch date of Oct. 1, 2023.
Effective April 1, 2023, NC Medicaid is updating its guidance around billable codes for social drivers of health.
Process change for Providers identifying Other Found Insurance for NC Medicaid Managed Care Members
Guidance for medication-assisted treatment in skilled nursing facilities
A new prior authorization is required for beneficiaries returning to NC Medicaid Direct
Effective with date of service, Dec. 21, 2022, the NC Medicaid and NC Health Choice programs cover piflufolastat F18 injection
Register now for the diabetes self-management presentation on May 11 and adolescent immunization on May 16.
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.
Lantus® SoloStar® / Vial will move to preferred on the NC Medicaid Preferred Drug List, effective March 24, 2023.
Tobacco-related policy requirements go into effect on April 1, 2024.
As of April 1, 2023, all NC Health Choice beneficiaries with active eligibility will be moved to Medicaid.