Medicaid Bulletin

Comment Period Extended - Behavioral Health I/DD Tailored Plan Request for Applications Pre-Release Policy Paper 

Friday, February 14, 2020

The Department has extended the public comment period for the Behavioral Health I/DD Tailored Plan Request for Applications Pre-Release Policy Paper published on Jan. 30, 2020.

Transition of Care Draft Policy Posting & Webinar

Wednesday, February 5, 2020

Today the Department of Health and Human Services issued the NC DHHS Transition of Care Draft Policy for public comments detailing the requirements under which the Standard Plan Prepaid Health Plans (PHPs) will facilitate transition of care for members transitioning between PHPs or service delivery systems. 

Behavioral Health I/DD Tailored Plan Request for Applications Pre-Release Policy Paper Webinar

Wednesday, February 5, 2020

On Monday, Feb. 10, 2020, the Department will host a webinar to discuss the Behavioral Health I/DD Tailored Plan Request for Applications (RFA) Pre-Release Policy Paper published on Jan. 30, 2020. 

Reminder: Annual Office Visit Limit

Tuesday, February 4, 2020

North Carolina has an annual office visit limit for both mandatory and optional services within the Medicaid program.

NC Medicaid Electronic Health Record (EHR) Incentive Program Announcements

Tuesday, February 4, 2020

NC-MIPS is Open for Program Year 2019, The Security Risk Analysis, Reminder from CMS Regarding Objective 6 and Objective 7, Clarification from CMS Regarding Objective 5 Measure 1: Patient Electronic Access and General Reminders

History Only Adjustments and Voids

Tuesday, February 4, 2020

This communication serves as an advisory notice for all providers. The intent is to increase awareness of history-only adjustments and voids within NCTracks. 

Clinical Coverage Policies

Tuesday, February 4, 2020

The following new or amended clinical coverage policies are available on the Clinical Coverage Policies web page on NC Medicaid’s website.

Update: Provider Application Process for Tailored Care Management – extended deadlines

Monday, February 3, 2020

To ensure that the Department gives providers enough time to prepare their applications after the release of the finalized manual, the Department has decided to further extend the initial application deadline for providers from Feb. 21, 2020, to June 2020.

Comprehensive Independent Assessment Entity Award Announcement

Friday, January 31, 2020

On Jan. 31 ,2020, the North Carolina Department of Health and Human Services announced that Keystone Peer Review Organization, Inc. received the contract as the Comprehensive Independent Assessment Entity. 

Behavioral Health I/DD Tailored Plan Request for Applications (RFA) Pre-Release Policy Paper

Thursday, January 30, 2020

We are pleased to share for comment the Behavioral Health I/DD Tailored Plan Request for Applications (RFA) Pre-Release Policy Paper. This complements prior policy papers issued by the Department between 2017 and early 2020 and is intended to give stakeholders additional insight into Behavioral Health I/DD Tailored Plan design areas not previously addressed in other policy papers. 

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