Key dates, Playbook updates, Medicaid Direct, fabrication of eyeglasses, managed care eligibility for newborns, prior authorization, FAQs, Provider Ombudsman, Provider directory, PHP quick reference guides and help center.
Topics Related to Medicaid Managed Care
Summary network adequacy results for Standard Plans are available.
AMH Provider Manual 2.2 reflects North Carolina’s Integrated Care for Kids (InCK) pilot program expectations and changes that impact Advanced Medical Home Tier 3 contracts with Standard Plans.
The seven-part series covers current policies and procedures under the new NC Medicaid Managed Care guidelines.
Standard Plans temporarily extended minimum appeal timeframes to support the transition to NC Medicaid Managed Care.
Upcoming Key Milestone Dates, Playbook Updates, Request to Move to NC Medicaid Direct Process, Prior Authorizations, Frequently Asked Questions, Contracting Reminders, Ombudsman and Webinars
This fall, NC Medicaid is releasing an updated series of provider enrollment training videos, which are required components of the provider enrollment.
This form is for members who wish to change their primary care assignment throughout the year.
All submissions are due Friday, Oct. 15, 2021.
Information for providers to prepare for the reporting year 2023 Payment Error Rate Measurement audit.