Topics Related to Medicaid Managed Care

This bulletin provides information about referrals for specialty care for NC Medicaid beneficiaries.
Includes flexibilities related to Tailored Plans and Healthy Opportunities Pilots
With state budget negotiations ongoing, NCDHHS has worked with CMS to negotiate a compromise to begin submitting documents needed for federal approval to launch Medicaid expansion on October 1, 2023.
Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.
All Home Health Care providers are expected to be fully compliant with requirements on Oct. 1, 2023.
Updates include updated policies on Acuity Tiers, Acuity-Based Contacts and Contact Monitoring.
This bulletin provides details on coverage for COVID-19 Vaccines and COVID-19 Counseling after the ending of the Federal Public Health Emergency.
Beneficiaries who will be covered by the Tailored Plans will continue to receive care as they do today.
Allows Home and Community Based Services for individuals with behavioral health, intellectual/developmental disabilities and traumatic brain injury.
New Temporary/Interim Estimated Budget Increases Added July 1, 2023.