Topics Related to All Providers

NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
A new PA is required for beneficiaries returning to NC Medicaid Direct.
New billable codes available Sept.1 to address social drivers of health
Beginning Jan. 1, 2023, substantive portion means more than half of the total time spent by the physician and NPP performing the shared/split visit
An updated version of the policy with an amendment date of May 15, 2022, is posted.
Prior to submitting an application for Advanced Medical Home/Care Management Agency Certification, please download and utilize the Provider Directory Listing Report.
Three claims processing edits to end with Public Health Emergency
Designed to improve communication access for Medicaid and NC Health Choice beneficiaries who are Deaf, Deaf-Blind and Hard of Hearing
Medicaid and NC Health Choice programs cover sutimlimab-jome injection, for intravenous use