Topics Related to Behavioral Health Providers

Comprehensive Clinical Assessment Requirements

A psychiatric diagnostic interview (Current Procedural Terminology 90792) may qualify as a Comprehensive Clinical Assessment if it meets all requirements.

Updated 1915(i) Assessment

The revised NC Medicaid 1915(i) Assessment includes new date fields and must be used starting Oct. 1, 2025.

Update:​ ​Assessment Fee Adjustment for Intermediate Care Facilities for Intellectual Disabilities

Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.

Updated: NC Medicaid Behavioral Health Intellectual/Developmental Disabilities Tailored Plans Federally Qualified Health Center/Rural Health Clinics Prospective Payment System - Alternate Payment Methodology wrap payment methodology

Reimbursement methodology changes revised to begin with dates of service on or after Dec. 1, 2024.

Assessment Fee Adjustment for Intermediate Care Facilities for Intellectual/Developmental Disabilities

Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.

Signature Requirements for Nursing Facility Level of Care Forms

Updated guidance for forms NC Medicaid 372-124 and DMA-0100.

NC Innovations Waiver: Supports Intensity Scale-Adult Version® 2nd Edition

The Centers for Medicare & Medicaid Services (CMS) requires individuals in the NC Medicaid Innovations waiver program to have a valid and comprehensive assessment.

NC Medicaid Provider Update March 13

Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more 

Upcoming Multi-Factor Authentication Changes for Pre-Admission Screening and Resident Review Users

Starting April 15, 2025, Pre-Admission Screening and Resident Review (PASRR) users must use Multi-Factor Authentication (MFA) via MyNCID to enhance security.

Changes Required for Justice Involved Youth Per Section 5121 of 2023 Consolidated Appropriations Act (CAA)

This bulletin describes the changes required under CAA 5121 as well as reminders on the suspension of benefits during incarceration.