Topics Related to Medicaid Managed Care
Children with NC Medicaid temporarily living in another state can get a free Vaccine for Children (VFC) vaccine from any VFC provider in that state.
This is an update to the September 2016 Medicaid Ordering, Prescribing or Referring Special Bulletin.
This bulletin has updated end dates & additional flexibilities for Behavioral Health, Care Management, Innovations, and Long-Term Services & Supports.
This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care. NC Medicaid is committed to ensuring continued access to care for NC Medicaid beneficiaries. As a service to both NC Medicaid beneficiaries and providers, NCTracks has created a webpage listing of all enrolled out-of-state (OOS) pharmacies, categorized by state.
NC Medicaid will continue the current Tailored Care Management temporary payment rate of $343.97 statewide through June 30, 2025.
Includes information on Change of Ownership Requirement, Upcoming Webinars, and more.
Effective Jan. 1, 2025, the unit of reimbursement will change from a 15-minute increment to a daily per diem.
Includes information on vaccine reimbursement, billing, counseling coverage and Immunization Program/Vaccines for Children
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.