Topics Related to AHEC, FQHC, RHC and LHD
Local Health Departments will continue to offer Care Management for At Risk Children and Care Management for High-Risk Pregnancy services to Medicaid beneficiaries, with Per Member Per Month payments remaining in effect, both through Dec. 31, 2026.
Following stakeholder engagement and review of departmental priorities, NC Medicaid will not be implementing the Advanced Medical Home (AMH) Standardized Performance Incentive Program (SPIP) at this time.
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.
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.