Key milestones, playbook updates, verifying beneficiary eligibility, provider reverification, review provider record in NCTracks and more.
Topics Related to Medicaid Managed Care
Providers who do not contract with Tailored Plans by the deadlines risk losing patients
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
A new PA is required for beneficiaries returning to NC Medicaid Direct.
New billable codes available Sept.1 to address social drivers of health
Prior to submitting an application for Advanced Medical Home/Care Management Agency Certification, please download and utilize the Provider Directory Listing Report.
Qualifying Medicaid Standard Plan members in 33 North Carolina counties may receive housing and transportation services.
WellCare broker update, contracting with transportation brokers, emergent care reminder
Capacity building FAQs, guidance on the use of extenders, standard terms and conditions, and Provider Manual updates.
CMS PERM audit educational provider webinar to be held in April 2022