NC Medicaid Specialized Foster Care Plan Update Webinar

DHHS will hold a webinar on June 4, 2021, to provide an update on the development of the Specialized Foster Care Plan. 

NC Medicaid Managed Care Provider Update – May 28, 2021

Topics include: key dates, contracting reminders, provider ombudsman, playbook updates, outreach to patient panels, webinars, provider directory, PHP quick reference guides, Help Center and Tailored Care Management certification.

DHHS Announces Three Regions for Medicaid Healthy Opportunities Pilots

NC DHHS announced the selection of organizations to serve three regions of the state

Reminder: Expiring Credential Update Requirement - May 26, 2021

To ensure providers meet contractual obligations to keep credentials current, notifications of suspension for failure to update a credential prior to the expiration date on file with NCTracks were implemented in May. 

NC Medicaid Managed Care Health Plan Assignments Completed for Beneficiaries

Medicaid beneficiaries currently eligible to transition to managed care have selected or been assigned a health plan. 

Updates to NC Medicaid 1G-2 Skin Substitutes Policy

NC Medicaid is updating the 1G-2 Skin Substitutes Policy. 

Prior Approval for Nursing Home Residents Moving from NC Medicaid Managed Care to Medicaid Direct

End-Dating the Use of Taxonomy Code 313M00000X (Nursing Home-Intermediate Level of Care) From Provider Permissions Matrix, Continuation of Temporary Suspension of Level I and Level II Assessments for New Nursing Home Admissions, NCMUST Webpage Update, PASRR Submission and Required Supporting Documentation

Clinical Policy 1A-22, Medically Necessary Circumcision Revised

Due to confusion with the language in Clinical Coverage Policy 1A-22, Medically Necessary Circumcision, the policy has been revised with grammar and punctuation updates.

Data on Medicaid and NC Health Choice Beneficiary Eligibility for Behavioral Health I/DD Tailored Plans and Tailored Care Management

NCDHHS is releasing data on the number of beneficiaries, as of April 2021, who currently meet the eligibility criteria to enroll in Tailored Plans and receive Tailored Care Management scheduled to launch in July 2022.

Updates to Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies

An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of April 1, 2021, was posted to the NC Medicaid Clinical Coverage Policy web page. 

https://medicaid.ncdhhs.gov/providers/medicaid-bulletin