Topics Related to Medicaid Direct

Fact sheets that address questions related to the Standard Plan disenrollment process for children in foster care are now available.
Key dates, Playbook updates, Medicaid Direct, fabrication of eyeglasses, managed care eligibility for newborns, prior authorization, FAQs, Provider Ombudsman, Provider directory, PHP quick reference guides and help center.
Upcoming Key Milestone Dates, Playbook Updates, Request to Move to NC Medicaid Direct Process, Prior Authorizations, Frequently Asked Questions, Contracting Reminders, Ombudsman and Webinars
Effective Oct. 1, 2021, immunizing pharmacists are authorized to administer Long Acting Injectable (LAI) medications.
The week of October 11, Carolina Access practices will receive a new PCCM agreement from CCNC. Signing this agreement allows practices to receive or continue to receive practice assignment data or quality data for NC Medicaid Direct beneficiaries. This does not apply to Carolina Access providers participating in the EBCI Tribal Option.
Information for providers to prepare for the reporting year 2023 Payment Error Rate Measurement audit.
All state Medicaid programs are required to incorporate methodologies.
The NCTracks provider record serves as the source of truth for managed care entities.
Providers are encouraged to confirm which PA types are included in this long-term design.