Topics Related to Medicaid Direct

Key milestones, playbook updates, verifying eligibility, reverification and more
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
Key milestones, playbook updates, verifying beneficiary eligibility, provider reverification, review provider record in NCTracks and more.
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
A new PA is required for beneficiaries returning to NC Medicaid Direct.
New billable codes available Sept.1 to address social drivers of health
WellCare broker update, contracting with transportation brokers, emergent care reminder
CMS PERM audit educational provider webinar to be held in April 2022
Charter schools, as Local Education Agencies, are to participate in North Carolina Medicaid reimbursement.
Fact sheets that address questions related to the Standard Plan disenrollment process for children in foster care are now available.