This is an update to the September 2016 Medicaid Ordering, Prescribing or Referring Special Bulletin.
Blog Entry List
This bulletin has updated end dates & additional flexibilities for Behavioral Health, Care Management, Innovations, and Long-Term Services & Supports.
The federal fee for Medicaid enrollment has increased to $730 for calendar year 2025.
This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.
This bulletin applies to NC Medicaid Direct.
NC Medicaid will continue the current Tailored Care Management temporary payment rate of $343.97 statewide through June 30, 2025.
Includes information on Change of Ownership Requirement, Upcoming Webinars, and more.
Two policies will be effective on Jan. 1, 2025, and posted to the NC Medicaid website.
Effective Jan. 1, 2025, the unit of reimbursement will change from a 15-minute increment to a daily per diem.
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.
Providers who support Community Alternatives Programs for Children and or Disabled Adults Medicaid Beneficiaries enrolled in NC Medicaid Direct.
Enrolled providers must notify the Department at least 30 days prior to the effective date of a change of ownership.
For providers unable to provide services under an active, approved service plan due to the impacts of Hurricane Helene.