Topics Related to Medicaid Managed Care

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

National Correct Coding Initiative Reminder

All state Medicaid programs are required to incorporate methodologies.

Tailored Care Management 101 Webinar Series

The webinar series runs from October through mid-December.

Keep NCTracks Records Current to Avoid Claims Processing Issues

The NCTracks provider record serves as the source of truth for managed care entities.