Includes Pharmacy Point of Sale, Physician Administered Drug Program and Outpatient Hospital Pharmacy
Topics Related to Medicaid Managed Care
Last days for providers to have fully executed contracts with Tailored Plans to be included in the beneficiary choice period and auto-assignment.
Replaces the prior version issued in February 2022
A multidisciplinary care team will provide whole-person care management that addresses all of a beneficiary’s needs
Upcoming milestones, Provider Playbook updates, organizational Provider affiliation requirement, Beneficiary assignment file and more
We encourage stakeholders to provide feedback by Dec. 19, 2022.
NCDHHS will delay the implementation of North Carolina Standard Plan and Tailored Plan Tobacco-Free Policy requirements.
Key milestones, playbook updates, beneficiary eligibility, reverification, provider records, provider ombudsman, help center and webinars.
Form for nursing facilities and health plans to communicate with DSS
Claims submitted with missing or invalid billing, rendering, and/or attending provider taxonomy codes is a top reason for claim denials