Topics Related to Behavioral Health Providers

Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.
Updates include updated policies on Acuity Tiers, Acuity-Based Contacts and Contact Monitoring.

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.  

A draft application for § 1915 (c) NC Innovation Waiver is posted for a 30-day public comment period.
Beneficiaries who will be covered by the Tailored Plans will continue to receive care as they do today.
Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.
Fact sheets covering Provider payment, reimbursement, claims submissions and prior authorization have been recently published on the NC Medicaid website.
Clarifies requirements related to Research Based-Behavioral Health Treatment and Specialized Consultative Services and New Taxonomy
Implementation guidelines reflect the Tailored Plan launch date of Oct. 1, 2023.
Behavioral health prior authorizations effective April 1, 2023