Topics Related to All Providers

Prepaid Health Plan Flexibility for Prior Authorizations During First 60 days after Managed Care Launch

Additional information on prior authorization is available.

Reminder: Health Equity Payment Initiative Survey

Carolina Access Providers who received health equity payments are asked to complete this survey by July 16.

NC Medicaid EHR Incentive Program Announcements

Four Months Left to Submit Program Year 2021 Attestations and the Security Risk Analysis.

Updates to Clinical Coverage Policy 10B, Outpatient Specialized Therapies, Independent Practitioners

On July 1, 2021, an amended version of the policy was posted.

Hospital Procedure Continuity at NC Medicaid Managed Care Launch

NC Medicaid wants to ensure that during the transition to NC Medicaid Managed Care that Medicaid beneficiaries receive the care they need as scheduled prior to July 1.

NC Medicaid Managed Care Launches July 1

The goal for Day One is that people get the care they need and providers get paid.

SPECIAL BULLETIN COVID-19 #169: Temporary Provider Rate Increases and Clinical Policy Changes Extended

NC Medicaid is extending COVID-19 temporary provider rate increases for all providers except hospitals and clinical coverage policies through July 31, 2021.

NC Medicaid Managed Care Provider Update – June 29, 2021

Frequently Asked Questions for NC Medicaid Managed Care

Children’s Developmental Services Agency Providers Carved Out of Managed Care

The following services should continue to be billed through NCTracks.

Update Expiring Credentials to Avoid Claims Suspension

NCTracks continues sending notifications to update the identified provider’s expiring credentials in order to avoid suspension and potential termination from NC Medicaid.