Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Credentialing Committee Bylaws Public Review Period Now Open

The North Carolina Department of Health and Human Services (NCDHHS), through General Dynamics Information Technology, Inc.

Tailored Care Management Temporary Rate Extension Ended
The Tailored Care Management payment rate is $294.86 effective July 1, 2025.
Assessment Fee Adjustment for Skilled Nursing Facility Providers
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
2025 NC Medicaid Managed Care Quality Strategy Approved
The strategy outlines visions and goals for NC Medicaid Managed Care for the next three years.
2025 NC Medicaid Standard Plan Performance Comparison Tool
NC Medicaid has released a new online tool for beneficiaries to compare the five available Standard Plans. The 2025 NC Medicaid Standard Plan Performance Comparison Tool is now available online.
2021-2023 Annual Quality Report
NCDHHS is pleased to announce the release of the 2021-2023 NC Medicaid Annual Quality Report.
NC Medicaid Guidance on Sunsetting of Community Alternatives Program Waiver Appendix K Flexibilities
NC Medicaid Hurricane Helene flexibilities for Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA) Waiver programs will expire on June 30, 2025.
Signature Requirements for Nursing Facility Level of Care Forms
Updated guidance for forms NC Medicaid 372-124 and DMA-0100.
Enhancements to PDN Prior Approval and Claims Processing – Effective July 13, 2025
NCTracks will implement system enhancements to improve the processing of Private Duty Nursing (PDN) Prior Approvals (PAs) and claims.
NC Medicaid Long Term Services and Supports Office Hours
NC Medicaid is hosting program specific office hours. Sessions will provide an opportunity for stakeholders to request technical assistance about issues and concerns.