Topics Related to All Providers

NC Medicaid Managed Care Provider Update – March 3, 2023

Implementation of Tailored Plans Start Date Oct. 1, 2023

NCDHHS Awards Contract for Provider Data Management/Credentialing Verification Organization

Optum has been awarded a contract to implement the solution, scheduled to launch in 2024.

Billing Update for NC Medicaid Policy 1A-22 Medically Necessary Circumcision and the Removal of ICD-10 Diagnosis Code Z29.8

NC Medicaid reimburses qualified providers for medically necessary circumcision for newborns and non-newborns.

NC Medicaid Managed Care Patient Risk List Companion Guide Released

This companion guide is designed to create uniformity in the completion of the Patient Risk List. 

Beacon Health Options Name Change Coming March 1

On March 1, 2023, Beacon Health Options is changing their name to Carelon Behavioral Health.

Assessment Fee Increase for Intermediate Care Facilities for Individuals with Intellectual Disabilities

Effective Feb. 1, 2022, NC Medicaid increased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment.

NCDHHS Delays Implementation of the NC Medicaid Managed Care Behavioral Health and I/DD Tailored Plans

Implementation is delayed until Oct. 1, 2023.

NC Medicaid’s Community Health Worker Strategy Guidance Paper

Support local capacity to overcome persistent health inequities by empowering and deploying community health workers (CHWs) and other care extenders to improve population health and support equitable health outcomes.

Provider Reverification Process to be Reinstated at End of Federal Health Emergency

Federal law requires all Medicaid providers to complete the recredentialing process.

Updated Sterilization Consent Form

This bulletin replaces Updated Sterilization Consent Form published on Feb. 14, 2023.