Topics Related to All Providers

Children and Families Specialty Plan – Primary Care Provider Beneficiary Choice Period Contracting Deadline

Primary Care Provider (PCP) contracting deadline for Beneficiary Choice Period is Sept. 1, 2025.

Adding Coverage of CPT Code 81515 – Xpert® Xpress Multiplex vaginal panel (MVP) that enables results within 60 minutes from a single specimen for Bacterial Vaginosis, Vulvovaginal Candidiasis and Trichomoniasis

Effective July 1, 2025, NC Medicaid will provide coverage for CPT Code 81515 – Xpert® Xpress MVP

Assessment Fee Adjustment for Intermediate Care Facilities for Intellectual/Developmental Disabilities

Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.

Credentialing Committee Bylaws Public Review Period Now Open

The North Carolina Department of Health and Human Services (NCDHHS), through General Dynamics Information Technology, Inc.

Quarterly Provider Update – Summer 2025

Information on Provider Ombudsman, Children and Families Specialty Plan and Upcoming Credentialing Changes.

Tailored Care Management Temporary Rate Extension Ended

The Tailored Care Management payment rate is $294.86 effective July 1, 2025.

Assessment Fee Adjustment for Skilled Nursing Facility Providers

Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.

2025 NC Medicaid Managed Care Quality Strategy Approved

The strategy outlines visions and goals for NC Medicaid Managed Care for the next three years.

2021-2023 Annual Quality Report

NCDHHS is pleased to announce the release of the 2021-2023 NC Medicaid Annual Quality Report.

Signature Requirements for Nursing Facility Level of Care Forms

Updated guidance for forms NC Medicaid 372-124 and DMA-0100.