NCDHHS is in its final week of open enrollment for NC Medicaid Managed Care. Through Friday, May 14, beneficiaries can choose a primary care provider (PCP) and a health plan for their families’ care in preparation for the launch of NC Medicaid Managed Care on July 1.
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DHHS has developed a reconsideration process for providers’ use following the validation of the provider submitted attestation information.
On May 9, 2021, NC Medicaid is taking additional steps to ensure providers meet their contractual obligation to keep credentials current on their NCTracks enrollment. NCTracks will generate a notification to providers at 60, 30 and 14 calendar days prior to the expiration date of the credential; and will begin a process of suspension if a provider fails to update their credential.
The American Rescue Plan Act that was recently enacted includes several changes to COVID-19 Medicaid policy. As of March 11, 2021, North Carolina will be covering all approved COVID-19 vaccines for limited benefit eligibility groups.
The Health Management System Provider Relations team is excited to announce the launch of the new Provider Portal.
The 2021 ICD-10 update is effective Oct. 1, 2020, through Sept. 30, 2021, for provider use for dates of service within this period.
New Long-Term Services and Supports Care Management web page, Advanced Medical Home Provider Manual 2.1 released and Program Guide added.
Program Year 2021 Announcements and the Security Risk Analysis.
Effective with date of service Feb. 11, 2021 the North Carolina Medicaid and NC Health Choice programs cover naxitamab-gqgk injection.
Effective with date of service Feb. 19, 2021, the North Carolina Medicaid and NC Health Choice programs cover evinacumab-dgnb injection.
Effective with date of service March 11, 2021, the North Carolina Medicaid and NC Health Choice programs cover margetuximab-cmkb injection.
Effective with date of service March 9, 2021, the North Carolina Medicaid and NC Health Choice programs cover trilaciclib for injection.
On May 9, 2021, NC Medicaid is taking additional steps to ensure providers meet their contractual obligation to keep credentials current on their NCTracks enrollment. NCTracks will generate a notification to providers at 60, 30 and 14 calendar days prior to the expiration date of the credential; and will begin a process of suspension if a provider fails to update their credential.
NC Medicaid will end the pay and report period for Electronic Visit Verification (EVV) claims on May 31, 2021.
As a reminder, NC Medicaid is taking additional steps to ensure providers meet their contractual obligation to keep credentials current on their NCTracks enrollment effective May 9, 2021. NCTracks will generate a notification to providers at 60, 30 and 14 calendar days prior to the expiration date of the credential; and will begin a process of suspension if a provider fails to update their credential.