Topics Related to Behavioral Health Providers

Collaborative Practice Agreements for Nurse Practitioners Supporting Members Diagnosed with Substance Use Disorders

Additional clarification about Nurse Practitioner credentialing requirements

Billing Guidance for Children’s Developmental Services Agency Providers

Claims may be submitted to NCTracks for all IFSP services for dates of service starting on July 1, 2021.

Potential Clinically Integrated Networks or Other Partners Statement of Interest

All responses have been received and are available.

Tailored Care Management Update: AMH+/CMA Certification Round One Desk Reviews Completed

NC Medicaid advanced 54 providers to the site review stage.

NCDHHS Announces Medicaid Managed Care Regional Behavioral Health I/DD Tailored Plans

DHHS announced the selection of seven organizations to serve as Behavioral Health and Intellectual/Developmental Disability Tailored Plans (Behavioral Health I/DD Tailored Plans).

New Prior Authorizations Required for Substance Use Disorder Prescriptions

Providers need to submit new prior authorizations (PA) for services subject to 42 Code of Federal Regulations (CFR) Part II

Tailored Care Management Data Updates

Data system guidance and strategy Q&As are now available

Electronic Visit Verification Implementation Extended for Waiver and LME-MCO-related Services

NC Medicaid implementation of Electronic Visit Verification (EVV) for the Innovations Waiver, TBI Waiver and (b)(3) services administered by the LME-MCOs has been moved to Aug. 31, 2021.

Electronic Visit Verification Implementation Update: Beginning of EVV Claims Adjudication, Alt EVV and Other Topics

This Bulletin contains updates on the implementation of electronic visit verification (EVV) claims adjudication, entering manual visits, alternate EVV solutions, EVV system updates, EVV implementation for Innovations and TBI Waivers administered by LME-MCOs, EVV implementation for managed care health plans, and quick help tips and resources. 

Data on Medicaid and NC Health Choice Beneficiary Eligibility for Behavioral Health I/DD Tailored Plans and Tailored Care Management

NCDHHS is releasing data on the number of beneficiaries, as of April 2021, who currently meet the eligibility criteria to enroll in Tailored Plans and receive Tailored Care Management scheduled to launch in July 2022.