Topics Related to All Providers
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.
This fall, care managers, caregivers and providers supporting high‑risk Medicaid beneficiaries are invited to join a three‑part webinar series focused on preparing for, responding to and recovering from extreme weather events.
Categorical Risk Level Subject to Bump-Up for Certain Providers.
Effective July 24, 2026, Basaglar® U-100 KwikPen® moved to Preferred status due to reported shortage of Lantus SoloStar pen.
This bulletin replaces in full the December 2025 Utilization Management by Managed Care Plans Aligned with Food and Drug Administration Labeling bulletin.
NC Medicaid, in collaboration with the four NC Medicaid Managed Care Standard Plans, will host the Sixth Annual Virtual Statewide Quality Forum on Wednesday, Oct. 14, 2026, from 11 a.m. to 1 p.m.