Topics Related to Medicaid Managed Care

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
Several flexibilities will be available on Dec. 1, 2023, to ease provider burden and ensure Medicaid expansion beneficiaries receive needed care.
Updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023
Starting in November 2023, Standard Plans and Medicaid Direct will reprocess claims without appropriate documentation of required codes.
NC Medicaid is implementing changes due to Session Law 2023-14 and to implement additional clinical best practices for maternity care.