Topics Related to All Providers

Updated toolkit available to learn who will be eligible for NC Medicaid, when and how to apply.
NC Medicaid requires prescriptions to be ordered by Medicaid enrolled providers.
Provider guidance for submitting claims to health plans under NC Medicaid Managed Care
NC Medicaid is adding mid-level substance use treatment services to Standard Plans effective October 3.
Includes information on provider recredentialing/reverification, Medicaid expansion and more.
The federal fee for Medicaid enrollment has increased to $709 for calendar year 2024.
Some services will receive rate increases effective Jan. 1, 2024
Several flexibilities will be available on Dec. 1, 2023, to ease provider burden and ensure Medicaid expansion beneficiaries receive needed care.
Updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023
Starting in November 2023, Standard Plans and Medicaid Direct will reprocess claims without appropriate documentation of required codes.