Topics Related to All Providers

Service field location effective date change from Oct. 5, 2022, to Jan. 1, 2023
NC Medicaid is working with Standard Plans to create easier pathways for providers to reach Standard Plans and resolve panel issues.
The PDAP Medicaid fee schedule requires multiple rate updates
Evaluates the impact of the North Carolina Medicaid Transformation on primary care and obstetrics/gynecology (Ob/Gyn) practices
CAHPS is a patient experience survey that serves as a national standard for measuring and reporting respondents’ experiences with their health care.
Quality metrics that will assess health plans’ performance across their populations
A delay in identifying individuals in NCTracks as dually eligible for Medicare and Medicaid has been discovered.
Updates for NC Immunization Program/Vaccines for Children and Medicaid Beneficiaries
Pharmacy Point of Sale claims for members enrolled Tailored Plans will be managed by NCTracks when Tailored Plans launch through March 31, 2023.
Key milestones, playbook updates, verifying eligibility, reverification and more