Recent court rulings now require the North Carolina Department of Health and Human Services to reverse provider rate reductions and restore rates to their Sept. 30, 2025, levels.
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.
Feedback Requested on Proposed Approach.
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.