Topics Related to All Providers
Detail on continuing, end-dating and revised rates
Upcoming Key Milestones, Playbook Updates, COVID-19 Vaccine Incentive Program, Prior Authorizations, Provider Ombudsman, Help Center, Provider Directory and Health Plan Loop-Up Tool
New legislation extends Medicaid for pregnant Beneficiaries to 12 Months after birth - effective April 1, 2022.
NC Medicaid has released an updated series of provider enrollment training videos, which are required components of the provider enrollment process.
Effective with date of service Dec. 22, 2021, Medicaid and NC Health Choice cover inclisiran injection, for subcutaneous use (Leqvio®).
Effective with date of service Dec. 17, 2021, Medicaid and NC Health Choice cover efgartigimod alfa-fcab injection, for intravenous use (VYVGART™).
Effective with date of service Dec. 30, 2021, Medicaid and NC Health Choice cover ropeginterferon alfa-2b-njft injection, for subcutaneous use (BESREMI®).
Follow-Up information after Office Hours and provider questions
Submission deadline extended from Feb. 4 to Feb. 11, 2022
Charter schools, as Local Education Agencies, are to participate in North Carolina Medicaid reimbursement.