Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.
Topics Related to Behavioral Health Providers
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
Implementation of Tailored Plans, playbook update, Provider reverification, NC Health Choice move to Medicaid, NCTracks Provider records and more.
Tobacco-related policy requirements go into effect on April 1, 2024.
Rate increases continuing and effects on managed care plans and contracted providers
Clinical Coverage Policy 8A, Mobile Crisis Management
Clinical Coverage Policy 8A, Mobile Crisis Management and State Plan Update