Topics Related to Medicaid Managed Care

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.
The goal for Day One is that people get the care they need and providers get paid.
Frequently Asked Questions for NC Medicaid Managed Care
The following services should continue to be billed through NCTracks.
This bulletin provides guidance to nursing facilities serving NC Medicaid-only residents transitioning to managed care on July 1.
Key milestone dates, where to turn for help, Provider Playbook, PHP quick reference guides, webinars, Provider Directory, Help Center and Provider Ombudsman.

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

Topics include: key dates, contracting reminders, provider ombudsman, playbook updates, outreach to patient panels, webinars, provider directory, PHP quick reference guides, Help Center and Tailored Care Management certification.

Medicaid beneficiaries currently eligible to transition to managed care have selected or been assigned a health plan. 

End-Dating the Use of Taxonomy Code 313M00000X (Nursing Home-Intermediate Level of Care) From Provider Permissions Matrix, Continuation of Temporary Suspension of Level I and Level II Assessments for New Nursing Home Admissions, NCMUST Webpage Update, PASRR Submission and Required Supporting Documentation