Topics Related to Medicaid Managed Care

Common Billing Error: Taxonomy Codes Missing, Incorrect or Inactive

This is a reminder to include taxonomy codes when submitting claims to PHPs, either by individual providers or through a trading partner.

SPECIAL BULLETIN COVID-19 #171: COVID-19 Rate Increases Under NC Medicaid Managed Care

This Special Bulletin is being released to inform NC Medicaid providers of COVID-19 rate reimbursement that providers will receive from Prepaid Health Plans (PHPs) under NC Medicaid Managed Care.

Prepaid Health Plan Flexibility for Prior Authorizations During First 60 days after Managed Care Launch

Additional information on prior authorization is available.

Hospital Procedure Continuity at NC Medicaid Managed Care Launch

NC Medicaid wants to ensure that during the transition to NC Medicaid Managed Care that Medicaid beneficiaries receive the care they need as scheduled prior to July 1.

NC Medicaid Managed Care Launches July 1

The goal for Day One is that people get the care they need and providers get paid.

NC Medicaid Managed Care Provider Update – June 29, 2021

Frequently Asked Questions for NC Medicaid Managed Care

Children’s Developmental Services Agency Providers Carved Out of Managed Care

The following services should continue to be billed through NCTracks.

Nursing Facilities Supporting NC Medicaid Only Residents Enrolled in NC Medicaid Managed Care: Prior Authorizations

This bulletin provides guidance to nursing facilities serving NC Medicaid-only residents transitioning to managed care on July 1.

NC Medicaid Managed Care Provider Update – June 16, 2021

Key milestone dates, where to turn for help, Provider Playbook, PHP quick reference guides, webinars, Provider Directory, Help Center and Provider Ombudsman.

NC Medicaid Specialized Foster Care Plan Update Webinar

DHHS will hold a webinar on June 4, 2021, to provide an update on the development of the Specialized Foster Care Plan.