Following stakeholder engagement and review of departmental priorities, NC Medicaid will not be implementing the Advanced Medical Home (AMH) Standardized Performance Incentive Program (SPIP) at this time.
Topics Related to Care Management Providers
Recent court rulings now require the North Carolina Department of Health and Human Services to reverse provider rate reductions and restore rates to their Sept. 30, 2025, levels.
NC Medicaid has revised or removed several Tailored Care Management trainings, and identified a refresher and elective curriculum.
The Tailored Care Management payment rate is $294.86 effective July 1, 2025.
The program is seeking current Medicaid providers to become early adopters of two new use cases of the state-designated health information exchange.
Feedback Requested on Proposed Approach.
This bulletin describes the changes required under CAA 5121 as well as reminders on the suspension of benefits during incarceration.
Children with NC Medicaid temporarily living in another state can get a free Vaccine for Children (VFC) vaccine from any VFC provider in that state.
This survey provides a national standard for assessing beneficiaries’ health care experience.
Includes information on new policies, tools and guidance, as well as several clarifications