Topics Related to Behavioral Health Providers

Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services and 8C, Outpatient Behavioral Health Services

This bulletin replaces NC Medicaid Temporary Flexibilities Due to Hurricane Idalia published on Aug. 30, 2023, to correct the end date.

Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries

Includes provider recredentialing/reverification, Medicaid expansion, Tailored Plan implementation and more.

Includes flexibilities related to Tailored Plans and Healthy Opportunities Pilots

Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.

Updates include updated policies on Acuity Tiers, Acuity-Based Contacts and Contact Monitoring.

The North Carolina Department of Health and Human Services recently awarded Acentra Health the contract as the Comprehensive Independent Assessment Entity (CIAE) for NC Medicaid.  

A draft application for § 1915 (c) NC Innovation Waiver is posted for a 30-day public comment period.

Beneficiaries who will be covered by the Tailored Plans will continue to receive care as they do today.