Topics Related to All Providers

Provider Credentialing Committee Coming Soon

Committee to make final decisions on submitted applications, quality determinations and compliance with regulatory requirements.

An Update on the Population Health Approach Guiding NC Medicaid

Public Comments Requested by May 30, 2025.

NC Medicaid Standard Plan Program Enhancements

Public comments requested by May 7, 2025.

Quarterly Provider Update – Spring 2025

Information on Provider Ombudsman, CFSP, and Upcoming Credentialing Changes.

ICD-10-PCS Update Effective April 1, 2025

The Centers for Medicare & Medicaid Services (CMS) is implementing 50 new procedure codes effective April 1, 2025.

NC Medicaid Provider Update March 13

Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more 

Hospital at Home Extended through March 31, 2025

The Centers for Medicare & Medicaid Services has extended this service through March 31, 2025

New Laboratory Coverage for Respiratory Panels

Effective April 1, 2025.

Reinstating Coverage of Definitive Drug Testing Codes in Outpatient Settings

Coverage has been restored to definitive drug testing codes that exceed seven drug classes retroactive to Dec. 1, 2024.

Upcoming Multi-Factor Authentication Changes for Pre-Admission Screening and Resident Review Users

Starting April 15, 2025, Pre-Admission Screening and Resident Review (PASRR) users must use Multi-Factor Authentication (MFA) via MyNCID to enhance security.