Coverage season will begin Aug. 15, 2021
Topics Related to All Providers
All responses have been received and are available.
NC Medicaid advanced 54 providers to the site review stage.
Not required for medications administered at the provider’s office or outpatient hospital clinic settings and billed as part of the professional claim (Physician Administered Drug Program).
The extension granted through the hardship process is now matched by the extension granted through new legislation.
Providers and pharmacies should always use NCTracks to confirm eligibility.
Key milestones, playbook updates, prior authorizations, FAQs, contracting, ombudsman, webinars and more.
When an NC Medicaid Managed Care member becomes part of a population exempted or excluded, they are disenrolled and transition to NC Medicaid Direct.
Guidance to pharmacies on prior authorizations that transfer from a health plan to NC Medicaid Direct.
Three Months Left to Submit Program Year 2021 Attestations and the Security Risk Analysis.