Effective Jan 9, 2022, NCTracks will no longer require Medicaid and NC Health Choice providers to pay the $100 NC application fee with enrollment and reverification applications.
Medicaid Bulletin
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
Since the launch of NC Medicaid Managed Care on July 1, 2021, providers have submitted claims to the prepaid health plans (PHPs) for services provided to beneficiaries who are enrolled with that PHP.
Reinstatement of temporary suspension of prior authorization for inpatient rehabilitation hospital and long-term care hospital admissions under NC Medicaid Managed Care.
Emergency use of Evusheld approved by FDA
Providers should bill with Revenue Code 0771 instead of Revenue Code 0261 on future claims for the vaccine and monoclonal antibody administration services.
Fact sheets that address questions related to the Standard Plan disenrollment process for children in foster care are now available.
On Dec. 20, 2021, the Department announced that the Healthy Opportunities Pilot will shift the start of Pilot service delivery from Feb. 1, 2022 to March 15, 2022. The Department will now take a phased approach to launching Healthy Opportunities Pilot services in all three Pilot regions.
Reimbursement for COVID-19 Specimen Collection
DME/POS providers may issue medically necessary equipment & supplies