Includes information on the Provider Ombudsman, NC Medicaid Webinars, Newly Effective Changes to Service Location Management, and more.
Topics Related to Medicaid Managed Care
This is an update to a bulletin published on Sept. 26, 2024, regarding flexibilities related to Hurricane Helene for NC Medicaid beneficiaries.
Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries
Information on key benefits, copay exceptions and rates effective Oct. 1, 2024.
To support providers with the launch of Tailored Plans, certain Transition of Care policy flexibilities have been extended.
Providers are encouraged to contact health plans to address any discrepancies in claim payment issues prior to escalating to the Provider Ombudsman
Provider Taxonomy codes required when submitting claims to Tailored Plans.
Guidance for providers directly billing Medicare for services provided to patients with retroactive Medicare enrollment dates
An amended version of Clinical Coverage Policy 5B, Orthotics and Prosthetics promulgated on July 15, 2024.