Topics Related to All Providers
Effective Oct. 1, 2023, copays will no longer be required for adult vaccines and vaccine administration.
Cards are only allowed to be used exclusively for the member’s individual needs.
Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services and 8C, Outpatient Behavioral Health Services
More than 600,000 people will gain access to quality care.
The 2024 ICD-10 update is effective Oct. 1, 2023 through Sept. 30, 2024.
Claims without the required EVV data will be denied.
Nursing Facility Providers and Intermediate Care Facilities for Individuals with Intellectual Disabilities Targeted.
The North Carolina Department of Health and Human Services (the Department) is releasing updated information about the assumptions underlying the care management component of capitation payments to NC Medicaid Managed Care Prepaid Health Plan (PHPs) Standard Plans. The PHP Standard Plan capitation rates developed by the Department reflect its belief that investment in robust community-based care management will drive improvements in care outcomes and achieve greater value from the state’s Medicaid dollar.