Not required for medications administered at the provider’s office or outpatient hospital clinic settings and billed as part of the professional claim (Physician Administered Drug Program).
Medicaid Bulletin
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
The extension granted through the hardship process is now matched by the extension granted through new legislation.
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.