This is an update to the September 2016 Medicaid Ordering, Prescribing or Referring Special Bulletin.
Medicaid Bulletin
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.
The federal fee for Medicaid enrollment has increased to $730 for calendar year 2025.
This bulletin applies to NC Medicaid Direct.
NC Medicaid will continue the current Tailored Care Management temporary payment rate of $343.97 statewide through June 30, 2025.
Includes information on Change of Ownership Requirement, Upcoming Webinars, and more.
Effective Jan. 1, 2025, the unit of reimbursement will change from a 15-minute increment to a daily per diem.
Two policies will be effective on Jan. 1, 2025, and posted to the NC Medicaid website.
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.