Blog Entry List
NC Medicaid Managed Care launched on July 1, 2021. Within the first 90 days of launch, beneficiaries can change their prepaid health plan (PHP) for any reason. The 90-day choice period ends on Sept. 30, 2021 for beneficiaries that moved to Managed Care on July 1, 2021.
NC Medicaid is extending all current COVID-19 temporary provider rate increases through Nov. 30, 2021. While the rate increases for providers authorized under SL 2020-4 were set to expire on June 30, 2021, NC Medicaid has discretion to continue these and other temporary rate increases assuming budget availability.
Prepaid health plans are required to pay interest and penalties to providers if they fail to accurately pay or inappropriately deny a claim.
Topics include key dates, playbook updates, prior authorization, FAQs, contracting, ombudsman, webinars and more.
Effective Oct. 15, 2021, CDSAs and independent practitioners providing individualized family service plan services must resume submitting PA requests.
Effective Aug. 18, 2021, the Medicaid and NC Health Choice programs cover anifrolumab-fnia injection
Oct 1, 2021 Update: The policy is amended with the effective date of Sept. 1, 2021.
Tobacco-related policy requirements go into effect on July 1, 2022.
Two Months Left to Submit Program Year 2021 Attestations; Security Risk Analysis
Will cover all U.S. FDA approved CAR T-Cell Therapies when administered per U.S. FDA approved guidelines
Providers are encouraged to confirm which PA types are included in this long-term design.
Temporary Suspension of Prior Authorization for Post-Acute Placements and Temporary Availability of the Hospital at Home Program
Tips for providers to reduce the likelihood of future documentation errors
Billing codes for Medicaid beneficiaries