Topics Related to All Providers
Guidance for the 2026 – 2027 COVID-19 vaccine for NC Medicaid.
Providers should take advantage of the 70-day timeframe given to ensure completion without adverse action.
Appointment dates and times will no longer be scheduled for provider site visits
Effective July 1, 2026, NC Medicaid launched a targeted expansion of School-Based Services by Local Education Agencies.
The Centers for Medicare & Medicaid Services released the 2027 ICD-10 code list, Effective Oct. 1, 2026.
Including a behavioral health post-enrollment accreditation update, recent provider communications and more.
NC Medicaid Launching New Services for Eligible Justice-Involved Youth under CAA 5121 in all Youth Development Centers.
NC Medicaid has contracted with Health Management Systems to conduct Overpayment Recovery Reviews for Medicaid beneficiaries.
Updating the date format requirement for Hospital UR Plan submission.
Beginning Nov. 1, 2026, Pharmacy Claims for controlled substances will be denied without an active certification on their NCTracks provider enrollment record.