Topics Related to Behavioral Health Providers

Providers should work with the Tailored Plans and Tailored Care Managers to support Medicaid beneficiaries transitioning to 1915(i) services.

Includes medical and pharmacy prior authorizations, out of network provider rates and rules, and primary care provider changes

Members may now select to receive Tailored Care Management from a provider with Transition to Community Living Distinction.

Billing Requirements for Medicaid Direct Providers

Withdrawal Management Policies Delayed

Tailored plans are all ready to launch on July 1, 2024.

Includes information on Provider Fact Sheets, LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks and more.

Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services Update

Effective Feb. 16, 2024, individuals requesting to receive services may be placed on a waitlist.

Clarification on the expiration of S.L. 2022-74 Section 9K.3 supervision flexibilities and a new taxonomy for Behavioral Analyst