Topics Related to Primary Care Providers

Includes medical and pharmacy prior authorizations, out-of-network provider rates and rules and primary care provider changes.
The program is seeking current Medicaid providers to become early adopters of two new use cases of the state-designated health information exchange.
To reduce the provider administrative burden during the enrollment application process, an important update has been made.
Reminders for NC Medicaid Providers related to transitions at Tailored Plan Launch.
Includes medical and pharmacy prior authorizations, out of network provider rates and rules, and primary care provider changes
Effective with date of service, March 6, 2023, Medicaid and NC Health Choice cover flortaucipir F 18 injection.
On/Go COVID-19 HOME COLLECT KIT added to coverage.
Includes details on checkwrite dates and additional payment distribution details.
As of April 1, 2023, all NC Health Choice beneficiaries with active eligibility will be moved to Medicaid.