Taxonomy codes must be included when submitting claims to prepaid health plans
Topics Related to Medicaid Managed Care
Ensure compliance with the HCBS final rule and prepare Tailored Plans and Providers for the launch of Tailored Care Management.
All responses have been received and are available.
NC Medicaid advanced 54 providers to the site review stage.
Key milestones, playbook updates, prior authorizations, FAQs, contracting, ombudsman, webinars and more.
The State solution for reporting electronic visit verification and aggregation is Sandata.
When an NC Medicaid Managed Care member becomes part of a population exempted or excluded, they are disenrolled and transition to NC Medicaid Direct.
Providers must submit ALL eyeglasses prior approval requests for NC Medicaid Direct beneficiaries and health plan members to NCTracks.
Guidance to pharmacies on prior authorizations that transfer from a health plan to NC Medicaid Direct.