Effective immediately, all providers must use the Electronic Visit Verification vendor of their choice for every home health visit.
Topics Related to Medicaid Managed Care
Implementation guidelines reflect the Tailored Plan launch date of Oct. 1, 2023.
Process change for Providers identifying Other Found Insurance for NC Medicaid Managed Care Members
A new prior authorization is required for beneficiaries returning to NC Medicaid Direct
Behavioral health prior authorizations effective April 1, 2023
Implementation of Tailored Plans, playbook update, Provider reverification, NC Health Choice move to Medicaid, NCTracks Provider records and more.
As of April 1, 2023, all NC Health Choice beneficiaries with active eligibility will be moved to Medicaid.
Updated information about the assumptions underlying the care management component of capitation payments to Standard Plans
Tobacco-related policy requirements go into effect on April 1, 2024.
Rate increases continuing and effects on managed care plans and contracted providers