Topics Related to Medicaid Managed Care

NC Medicaid will update the PADP fee schedule effective Feb. 1, 2024.

The updated policy aims to minimize the impact of health plan accreditation on delegated care management entities

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.

Provider guidance for submitting claims to health plans under NC Medicaid Managed Care

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

Includes information on provider recredentialing/reverification, Medicaid expansion and more.

Some services will receive rate increases effective Jan. 1, 2024