Avoid Suspension and Termination by completing reverification upon notification.
Topics Related to COVID-19
Effective with date of service, March 6, 2023, Medicaid and NC Health Choice cover flortaucipir F 18 injection.
On/Go COVID-19 HOME COLLECT KIT added to coverage.
Implementation of Tailored Plans, playbook update, Provider reverification, NC Health Choice move to Medicaid, NCTracks Provider records and more.
Rate increases continuing and effects on managed care plans and contracted providers
Flexibilities ending at or after the end of the Federal Public Health Emergency
PIXEL COVID-19 Home Collection Kit Change
Beginning with date of service May 12, 2023, NC Medicaid will end temporary emergency flexibilities implemented for three claims processing edits.
Effective Feb. 1, 2022, NC Medicaid increased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment.
Point-of-sale (POS) billing for FDA-authorized over-the-counter (OTC) COVID-19 tests dispensed for use by NC Medicaid beneficiaries in a home setting remains in effect for NC Medicaid Direct and all five managed care plans.