Topics Related to Medicaid Managed Care
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
Home Health Care Services: Soft Launch April 1, 2023 through June 30, 2023; Provider Selection of Electronic Visit Verification Vendor
This report describes findings from the second assessment of provider experience and satisfaction with the NC Medicaid program.
The rates for HHCS shall be increased by 10% above the current fee schedule rate.
Implementation is delayed until Oct. 1, 2023.
Claims submitted to a health plan have a timely filing claims processing deadline of 180 calendar days