Recent court rulings now require the North Carolina Department of Health and Human Services to reverse provider rate reductions and restore rates to their Sept. 30, 2025, levels.
Topics Related to AHEC, FQHC, RHC and LHD
Reimbursement methodology changes revised to begin with dates of service on or after Dec. 1, 2024.
Standard Plans will reimburse the APM rate for claims with a date of service on or after Aug. 1, 2024.
The program is seeking current Medicaid providers to become early adopters of two new use cases of the state-designated health information exchange.
Feedback Requested on Proposed Approach.
NC Medicaid added coverage for Healthcare Common Procedure Coding System (HCPCS) Code G0512 for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
This bulletin describes the changes required under CAA 5121 as well as reminders on the suspension of benefits during incarceration.
This survey provides a national standard for assessing beneficiaries’ health care experience.
Reimbursement methodology changes revised to begin with dates of service on or after Dec. 1, 2024.
Effective Aug. 1, 2022, only the technical component of an onsite radiology service performed at FQHCs/RHCs will be separately reimbursed by Medicaid