Effective Feb. 3, 2025, unless communicated otherwise by the Department
Blog Entry List
Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more.
Providers affected by Hurricane Helene have additional time to submit requests for services
Includes Consolidated Appropriations Act Section 5121 Guidance.
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.
NC Medicaid updates mental health and substance use disorder policies.
Vaya Health provides outreach, education and transition coordination.
NC Medicaid is aware of challenges and concerns from retro-enrollment changes, particularly their impact on claims and recoupments.
To reduce the provider administrative burden during the enrollment application process, an important update has been made.
NC Medicaid updates mental health and substance use disorder policies.
Effective Feb. 1, 2025, Clinical Coverage Policy 10A services for beneficiaries aged 21 and older may be provided by independent practitioner providers.
Updates to NCTracks Third Party Liability process for NC Medicaid Direct.
Information session scheduled for Jan. 15, 2025.
Effective Feb. 1, 2025, updated unit limitations will be applied to some allergy testing and immunotherapy CPT codes.
Providers will continue to follow Personal Care Services in In-home settings (3L) from Jan. 1, 2025, through March 31, 2025.