NCDHHS delays the implementation of Tailored Plans until April 1, 2023. Specific new services will still go live Dec. 1, 2022.
Blog Entry List
Flexibilities effective Sept. 29, 2022, to the NC Medicaid and NC Health Choice programs
Certified Tailored Care Management Providers Completed Readiness and Application Period Open for Round 3 Tailored Care Management Certification.
Certain vaccinations must be offered to Medicaid-eligible beneficiaries without a co-pay charge.
Providers can refer patients to Healthy Opportunities Pilot services
Join DHHS Sept. 29, 2022, at 3:30 p.m. for more information. Statement of intent due Nov. 10, 2022.
Every page of the NCTracks provider record should be assessed for accuracy.
Ventolin® HFA will shift from Non-Preferred to Preferred on the Preferred Drug List (PDL), effective Sept. 23, 2022.
Pfizer & Moderna Bivalent COVID-19 booster vaccine billing and claims information
Coverage season starts Oct. 1, 2022.
The 2023 ICD-10 update is effective Oct. 1, 2022, through Sept. 30, 2023, for provider use for dates of service within this period.
Key milestones, playbook updates, verifying eligibility, provider reverification, provider records, behavioral health services transition and more
Providers should contact the PHPs and Provider Ombudsman to resolve issues.
Updates to Clinical Coverage Policy 1A-5 with an effective date of Sept. 2, 2022.
Attention Standard Plans/Tailored Plans/HHA Exchange/CareBridge and Healthy Blue