Topics Related to Behavioral Health Providers

Updates for providers on 1915(b)(3) services ending, new 1915(i) assessment tool and 1915(i) reassessments.

Reminders for NC Medicaid Providers related to transitions at Tailored Plan Launch.

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