Providers can refer patients to Healthy Opportunities Pilot services
Blog Entry List
Certain vaccinations must be offered to Medicaid-eligible beneficiaries without a co-pay charge.
Pfizer & Moderna Bivalent COVID-19 booster vaccine billing and claims information
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.
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.
Attention Standard Plans/Tailored Plans/HHA Exchange/CareBridge and Healthy Blue
Updates to Clinical Coverage Policy 1A-5 with an effective date of Sept. 2, 2022.
Updates on Tailored Plan criteria review, eligibility criteria, enrollment and health care options, and resources for Beneficiaries and Providers.
What services are available, in which regions, and how providers can refer patients.
The adjudication of some prior approvals will be performed by GDIT Fiscal Agent Operations Reviewers instead of clinical reviewers at NC Medicaid
Providers shall not bill a NC Medicaid beneficiary for services furnished to a beneficiary who the provider has accepted as a Medicaid patient.