Topics Related to All Providers

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
Several code updates are effective April 1, 2023
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
The applicable ICD-10-Codes will be retroactive back to Jan. 1, 2023.
This billing guidance supplements clinical policies and Medicaid bulletins.
Revised EVV for Home Health Services implementation dates for NC Medicaid Direct, Standard Plans and Tailored Plans.
Proposed CAP/C Waiver renewal application submitted to CMS for review and approval