Topics Related to All Providers
Attention Standard Plans/Tailored Plans/HHA Exchange/CareBridge and Healthy Blue
Updates to Clinical Coverage Policy 1A-5 with an effective date of Sept. 2, 2022.
What services are available, in which regions, and how providers can refer patients.
Updates on Tailored Plan criteria review, eligibility criteria, enrollment and health care options, and resources for Beneficiaries and Providers.
Providers shall not bill a NC Medicaid beneficiary for services furnished to a beneficiary who the provider has accepted as a Medicaid patient.
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.