Effective Feb. 3, 2025, unless communicated otherwise by the Department
Topics Related to Medicaid Managed Care
Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more.
Includes Consolidated Appropriations Act Section 5121 Guidance.
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.
Providers affected by Hurricane Helene have additional time to submit requests for services
NC Medicaid updates mental health and substance use disorder policies.
NC Medicaid is aware of challenges and concerns from retro-enrollment changes, particularly their impact on claims and recoupments.
NC Medicaid updates mental health and substance use disorder policies.
Effective Feb. 1, 2025, Clinical Coverage Policy 10A services for beneficiaries aged 21 and older may be provided by independent practitioner providers.
The implementation of the Rate Reimbursement Methodology for individuals living in congregate settings will take effect on April 1, 2025.