Topics Related to Medicaid Managed Care

NCDHHS Publishes Summary of Initial Network Adequacy Results for Standard Plans

Summary network adequacy results for Standard Plans are available.

Advanced Medical Home Provider Manual 2.2 Released

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.

Coming in January 2022 - NEW NC Medicaid Provider Training

The seven-part series covers current policies and procedures under the new NC Medicaid Managed Care guidelines.

Extension to NC Medicaid Managed Care Appeals Deadlines

Standard Plans temporarily extended minimum appeal timeframes to support the transition to NC Medicaid Managed Care.

NC Medicaid Managed Care Provider Update – Oct. 29, 2021

Upcoming Key Milestone Dates, Playbook Updates, Request to Move to NC Medicaid Direct Process, Prior Authorizations, Frequently Asked Questions, Contracting Reminders, Ombudsman and Webinars

Updated Provider Enrollment Training

This fall, NC Medicaid is releasing an updated series of provider enrollment training videos, which are required components of the provider enrollment.

New Primary Care Provider Change Request Form for Members in Managed Care Prepaid Health Plans

This form is for members who wish to change their primary care assignment throughout the year.

Tailored Care Management Technical Advisory Group Application Period Opens

All submissions are due Friday, Oct. 15, 2021.

Maintaining Complete Medical Records and Updating Contact Information

Information for providers to prepare for the reporting year 2023 Payment Error Rate Measurement audit.

Electronic Visit Verification Soft Launch Update for Prepaid Health Plans

Final Extension of Electronic Visit Verification Soft Launch for Prepaid Health Plans