Topics Related to Behavioral Health Providers

North Carolina Standard & Tailored Plan Tobacco-Free Policy Requirement

Tobacco-related policy requirements go into effect on July 1, 2022.

Tailored Care Management: Conflict-Free Care Management Guidance

Ensure compliance with the HCBS final rule and prepare Tailored Plans and Providers for the launch of Tailored Care Management.

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.