This announcement is for NC Medicaid and Division of Mental Health, Developmental Disabilities, and Substance Use Services State Funded Behavioral Health Providers.
Topics Related to Behavioral Health Providers
Recent court rulings now require the North Carolina Department of Health and Human Services to reverse provider rate reductions and restore rates to their Sept. 30, 2025, levels.
A psychiatric diagnostic interview (Current Procedural Terminology 90792) may qualify as a Comprehensive Clinical Assessment if it meets all requirements.
The revised NC Medicaid 1915(i) Assessment includes new date fields and must be used starting Oct. 1, 2025.
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
Reimbursement methodology changes revised to begin with dates of service on or after Dec. 1, 2024.
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
Updated guidance for forms NC Medicaid 372-124 and DMA-0100.
The Centers for Medicare & Medicaid Services (CMS) requires individuals in the NC Medicaid Innovations waiver program to have a valid and comprehensive assessment.
Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more