Provider guidance for submitting claims to health plans under NC Medicaid Managed Care
Topics Related to All Providers
NC Medicaid is adding mid-level substance use treatment services to Standard Plans effective October 3.
Includes information on provider recredentialing/reverification, Medicaid expansion and more.
The federal fee for Medicaid enrollment has increased to $709 for calendar year 2024.
Some services will receive rate increases effective Jan. 1, 2024
Several flexibilities will be available on Dec. 1, 2023, to ease provider burden and ensure Medicaid expansion beneficiaries receive needed care.
Updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023
Starting in November 2023, Standard Plans and Medicaid Direct will reprocess claims without appropriate documentation of required codes.
Flexibilities extended while the Centers for Medicare & Medicaid Services reviews the Innovations and Traumatic Brain Injury Waiver amendments.
Starting today, more than 260,000 people will receive a notification that they will get full Medicaid Benefits beginning Dec. 1, 2023.