Stakeholder dialogs on ending CAP flexibilities coming soon
Blog Entry List
PA Resumes for Behavioral Health Services Effective July 15, 2022
Key milestones, playbook updates, verifying beneficiary eligibility, provider reverification, review provider record in NCTracks and more.
The estimated effective date for this policy update is Aug. 1, 2022.
Rate increase for EVV PCS claims
Providers who do not contract with Tailored Plans by the deadlines risk losing patients
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
Effective Sept. 1, 2022, codes submitted without modifier LT (left), or RT (right) will be denied
A new PA is required for beneficiaries returning to NC Medicaid Direct.
Coverage for single booster dose
EPSDT Prior Authorization Available July 1, 2022
New billable codes available Sept.1 to address social drivers of health
Three claims processing edits to end with Public Health Emergency
Prior to submitting an application for Advanced Medical Home/Care Management Agency Certification, please download and utilize the Provider Directory Listing Report.
An updated version of the policy with an amendment date of May 15, 2022, is posted.