Topics Related to Medicaid Managed Care
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.
All Home Health Care providers are expected to be fully compliant with requirements on Aug. 1
Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.
Fact sheets covering Provider payment, reimbursement, claims submissions and prior authorization have been recently published on the NC Medicaid website.
Update includes provider verification, billing requirement modifications; Tailored Plan implementation, upcoming key milestones, playbook updates and more.
Effective immediately, all providers must use the Electronic Visit Verification vendor of their choice for every home health visit.
Implementation guidelines reflect the Tailored Plan launch date of Oct. 1, 2023.
Process change for Providers identifying Other Found Insurance for NC Medicaid Managed Care Members