Includes information on LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks, Medicaid expansion and more.
Topics Related to Medicaid Managed Care
Includes rate considerations for Medicaid Expansion members effective Dec. 1, 2023.
CorDx, GoToKnow, FaStep COVID-19 AG Home Tests added to coverage.
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.