Claims submitted to a health plan have a timely filing claims processing deadline of 180 calendar days
Topics Related to All Providers
Policy updates for NC Medicaid Direct beneficiaries in the Obstetrical Services and Pregnancy Management Program policies, retroactive to Jan. 1.
Note: This bulletin is replaced by NC Health Choice Move to Medicaid: Timeline for Claims Adjudication and Process for Prior Approvals.
This document provides guidance on what capacity building funds can be used for as well as the timeframes for use of the funds.
NC Medicaid is implementing new Managed Care Nursing Facility rates to support nursing facility providers and NC Medicaid members.
Milestones, playbook updates, beneficiary assignment file, provider reverification, provider records, provider ombudsman, help center and webinars.
Providing A Dental Home for Children and Youth with Special Health Care Needs
Changes for providers and beneficiaries effective April 1, 2023, when NC Health Choice beneficiaries transition to Medicaid.
Approved on Jan. 25, 2023, with an effective date of Dec. 1, 2022