Blog Entry List

Includes information on vaccine reimbursement, billing, counseling coverage and Immunization Program/Vaccines for Children
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.
Enrolled providers must notify the Department at least 30 days prior to the effective date of a change of ownership.
Providers who support Community Alternatives Programs for Children and or Disabled Adults Medicaid Beneficiaries enrolled in NC Medicaid Direct.
For providers unable to provide services under an active, approved service plan due to the impacts of Hurricane Helene.
Providers will continue to use NCTracks for all enrollment activities until further notice.
This survey provides a national standard for assessing beneficiaries’ health care experience.

This bulletin applies to both NC Medicaid Direct and NC Managed Care health plans.

This bulletin contains information on updated flexibilities being implemented by NC Medicaid due to the Hurricane Helene Public Health Emergency.
Effective Dec. 1, 2024, some drug testing CPT codes will no longer be reimbursed in the outpatient setting.
Withdrawal Management Policies Promulgate

NC Medicaid and the health plans are committed to supporting providers impacted by the devastating effects of Hurricane Helene. The following financial supports may be available to providers, even if they are unable to submit claims or perform services:

This is a reminder for providers related to the waivers the Centers for Medicare and Medicaid Services (CMS) approved for North Carolina.
Effective Oct. 1, 2024, NC Medicaid decreased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment
Updates based on the implementation of new Office of Management and Budget labor market delineations published August 6.