Topics Related to Behavioral Health Providers

New NC Medicaid Dashboard - Innovations Waiver Waitlist

The dashboard represents individuals on the Innovations Waiver waitlist by county and LME/MCO.

NC Medicaid Managed Care Provider Update – Oct. 2, 2023

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

Policy Updates for Behavioral Health Providers

Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services and 8C, Outpatient Behavioral Health Services

Updated: NC Medicaid Temporary Flexibilities Due to Hurricane Idalia

This bulletin replaces NC Medicaid Temporary Flexibilities Due to Hurricane Idalia published on Aug. 30, 2023, to correct the end date.

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.  Acentra Health will provide management and oversight for the Preadmission Screening Resident Review (PASRR) Level II process and will also serve as the Local Contact Agency (LCA), responsible for providing interested Nursing Facility (NF) residents with options for transitioning from institutional care to community-based living.