Topics Related to All Providers

New separately reimbursable CPT codes in the ambulatory surgery setting

Providers should work with their Medicaid beneficiary’s health plan and Tailored Care Manager to transition the members to 1915(i) services.

Revised policy in addition to services outlined in Maternity Coverage and Reimbursement Bulletin posted Oct. 23, 2023.

The next review panel meeting is April 11, 2024

This website includes resources to assist with completing the NC Medicaid application and information about becoming a Medicaid Ambassador.

Tailored plans are all ready to launch on July 1, 2024.

Includes information on Provider Fact Sheets, LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks and more.

Tobacco-Related Policy Requirements Delayed until July 1, 2025

Additional Provider Flexibilities to Support Providers during Change Healthcare Disruption