Topics Related to Medicaid Managed Care

NC Medicaid and the health plans are committed to supporting providers impacted by the devastating effects of Hurricane Helene. The following financial supports may be available to providers, even if they are unable to submit claims or perform services:
This is a reminder for providers related to the waivers the Centers for Medicare and Medicaid Services (CMS) approved for North Carolina.
Updates based on the implementation of new Office of Management and Budget labor market delineations published August 6.
Includes information on the Provider Ombudsman, NC Medicaid Webinars, Newly Effective Changes to Service Location Management, and more. 
Effective Oct. 1, 2024, genetic testing policies have been revised.
This is an update to a bulletin published on Sept. 26, 2024, regarding flexibilities related to Hurricane Helene for NC Medicaid beneficiaries.
Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries
Information on key benefits, copay exceptions and rates effective Oct. 1, 2024.
To support providers with the launch of Tailored Plans, certain Transition of Care policy flexibilities have been extended.
Providers are encouraged to contact health plans to address any discrepancies in claim payment issues prior to escalating to the Provider Ombudsman