Medicaid Bulletin

NC Medicaid advanced 54 providers to the site review stage.

All responses have been received and are available.

Providers and pharmacies should always use NCTracks to confirm eligibility.

The State solution for reporting electronic visit verification and aggregation is Sandata.

Providers must submit a contact lens prior approval request to NCTracks for a beneficiary who has transferred back to NC Medicaid Direct.

When an NC Medicaid Managed Care member becomes part of a population exempted or excluded, they are disenrolled and transition to NC Medicaid Direct.

Key milestones, playbook updates, prior authorizations, FAQs, contracting, ombudsman, webinars and more.

Guidance to pharmacies on prior authorizations that transfer from a health plan to NC Medicaid Direct.

Providers must submit ALL eyeglasses prior approval requests for NC Medicaid Direct beneficiaries and health plan members to NCTracks.

Three Months Left to Submit Program Year 2021 Attestations and the Security Risk Analysis.