Blog Entry List
We encourage stakeholders to provide feedback by Dec. 19, 2022.
The $20 PMPM Medical Home Payments for AMHs serving members eligible for Tailored Care Management will begin in December.
Temporary flexibilities and changes run from Dec. 1, 2022, to March 31, 2023.
Please post in a prominent location such as patient waiting rooms as soon as possible.
NCDHHS will delay the implementation of North Carolina Standard Plan and Tailored Plan Tobacco-Free Policy requirements.
About the Trails Program
The North Carolina Trails Program originated in 1973 with the North Carolina Trails System Act and is dedicated to helping citizens, organizations and agencies plan, develop, and manage all types of trails ranging from greenways and trails for hiking, biking, and horseback riding to paddle trails and off-road vehicle trails.
All fee schedules currently listed on the NC Medicaid website have been moved to a new Fee Schedule and Covered Code Portal available to the public.
Providers are encouraged to review for an overview of other general language and formatting updates.
Effective with date of service Aug. 31, 2022, Medicaid and NC Health Choice programs cover Moderna COVID-19 Vaccine
Effective with date of service August 31, 2022, Medicaid and NC Health Choice cover Pfizer-BioNTech COVID-19 Vaccine
Effective Nov. 3, 2022, fee schedules currently listed on the NC Medicaid website will move to a new public fee schedule and covered code website.
Effective Oct. 1, 2022, Pluvicto must be billed with HCPCS code A9607
Updated HCPCS Code, unit of coverage and maximum reimbursement rate
The delay in conducting assessments has slowed the generation of prior approvals for the continuation of PCS.
Key milestones, playbook updates, beneficiary eligibility, reverification, provider records, provider ombudsman, help center and webinars.