Topics Related to Medicaid Direct

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.
Timely submissions help reduce claim denials and payment delays.
Effective Oct. 1, 2024, genetic testing policies have been revised.
This is an update to a bulletin published on Sept. 26, 2024, regarding flexibilities related to Hurricane Helene for NC Medicaid beneficiaries.
Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries
Information on key benefits, copay exceptions and rates effective Oct. 1, 2024.
Guidance for providers directly billing Medicare for services provided to patients with retroactive Medicare enrollment dates
An amended version of Clinical Coverage Policy 5B, Orthotics and Prosthetics promulgated on July 15, 2024.