Topics Related to All Providers

Medicaid and prepaid health plans (PHPs) have identified a trend in claim denials related to taxonomy enrollment and credentialing.
CDC implementing twelve new codes; now available in NCTracks
Certain COVID-19 Flexibilities implemented by NC Medicaid under State Authority will be end-dated as of March 31, 2022
Bonus amount, timeline and continuing reviews
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®).