Topics Related to Behavioral Health Providers

NC Medicaid Temporary Flexibilities Due to Hurricane Idalia

Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries

NC Medicaid Managed Care Provider Update – August 22, 2023

Includes provider recredentialing/reverification, Medicaid expansion, Tailored Plan implementation and more.

CMS Approves New Flexibilities for the NC Medicaid Reform Section 1115 Demonstration Project

Includes flexibilities related to Tailored Plans and Healthy Opportunities Pilots

NC Medicaid Managed Care Provider Update – July 20, 2023

Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.

July Tailored Care Management Provider Manual Updates

Updates include updated policies on Acuity Tiers, Acuity-Based Contacts and Contact Monitoring.

Preadmission Screening Resident Review Level II and Local Contact Agency Vendor Transitions

The North Carolina Department of Health and Human Services recently awarded Acentra Health the contract as the Comprehensive Independent Assessment Entity (CIAE) for NC Medicaid.  

Public Comment on Innovation Waiver Draft Application Ends July 30

A draft application for § 1915 (c) NC Innovation Waiver is posted for a 30-day public comment period.

Tailored Plan Implementation Delayed

Beneficiaries who will be covered by the Tailored Plans will continue to receive care as they do today.

NC Medicaid Managed Care Provider Update – June 16, 2023

Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.

Provider Payment and Claims Submission Fact Sheets

Fact sheets covering Provider payment, reimbursement, claims submissions and prior authorization have been recently published on the NC Medicaid website.