Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more.
Topics Related to All Providers
Includes Consolidated Appropriations Act Section 5121 Guidance.
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.
Providers affected by Hurricane Helene have additional time to submit requests for services
NC Medicaid updates mental health and substance use disorder policies.
NC Medicaid is aware of challenges and concerns from retro-enrollment changes, particularly their impact on claims and recoupments.
To reduce the provider administrative burden during the enrollment application process, an important update has been made.
NC Medicaid updates mental health and substance use disorder policies.
Effective Feb. 1, 2025, Clinical Coverage Policy 10A services for beneficiaries aged 21 and older may be provided by independent practitioner providers.
Effective Feb. 1, 2025, updated unit limitations will be applied to some allergy testing and immunotherapy CPT codes.