Providers who do not contract with Tailored Plans by the deadlines risk losing patients
Blog Entry List
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
New billable codes available Sept.1 to address social drivers of health
EPSDT Prior Authorization Available July 1, 2022
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.
Beginning Jan. 1, 2023, substantive portion means more than half of the total time spent by the physician and NPP performing the shared/split visit
Medicaid and NC Health Choice cover kit for the preparation of gallium Ga 68 gozetotide injection
Providing A Dental Home for Children and Youth with Special Healthcare Needs
Medicaid and NC Health Choice cover gadoterate meglumine injection
the Medicaid and NC Health Choice cover kit for the preparation of gallium Ga 68 dotatate injection