Topics Related to Medicaid Direct

How to create an association in Sandata allowing providers to work with their clients
North Carolina Medicaid will reimburse pharmacies for utilizing the statewide Self-Administered Hormonal Contraceptive Protocol for pharmacists.
NC Medicaid will begin publishing the POS vaccine rate file in January of 2024
NC Medicaid requires prescriptions to be ordered by Medicaid enrolled providers.
NC Medicaid is adding mid-level substance use treatment services to Standard Plans effective October 3.
Intended to Support Innovations Waiver Services Direct Care Worker Wage Increases
Some services will receive rate increases effective Jan. 1, 2024
Updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023
Starting in November 2023, Standard Plans and Medicaid Direct will reprocess claims without appropriate documentation of required codes.
NC Medicaid is implementing changes due to Session Law 2023-14 and to implement additional clinical best practices for maternity care.