Topics Related to Medicaid Direct

Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.
For providers unable to provide services under an active, approved service plan due to the impacts of Hurricane Helene.
This survey provides a national standard for assessing beneficiaries’ health care experience.
This bulletin applies to both NC Medicaid Direct and NC Managed Care health plans.Vaccine strains for the 2024–25 influenza vaccines were selected by the Food and Drug Administration’s Vaccines and Related Biologic Products Advisory Committee (VRBPAC) based on WHO’s recommended Northern Hemisphere 2024–25 influenza vaccine composition. For details on the 2024-2025 influenza vaccines, visit the Centers for Disease Control (CDC) Flu Season web page. 
This bulletin contains information on updated flexibilities being implemented by NC Medicaid due to the Hurricane Helene Public Health Emergency.
Withdrawal Management Policies Promulgate
Effective Dec. 1, 2024, some drug testing CPT codes will no longer be reimbursed in the outpatient setting.
NC Medicaid and the health plans are committed to supporting providers impacted by the devastating effects of Hurricane Helene. The following financial supports may be available to providers, even if they are unable to submit claims or perform services:
This is a reminder for providers related to the waivers the Centers for Medicare and Medicaid Services (CMS) approved for North Carolina.
Updates based on the implementation of new Office of Management and Budget labor market delineations published August 6.