Transition of Care Data Specification Guidance

This page contains a list of the NC Medicaid data specification guidance documents in support of Transition of Care activities. The table below provides the name, date, version and link to the current data specification guidance. 

Data Specification GuidanceDateVersion
Requirements for sharing Prior Authorization Data to support Continuity of Care for Beneficiaries transitioning between Medicaid Direct & Standard Plans11/03/20239.0
Requirements for Sharing Claims & Encounters Data to Support Continuity of Care for Beneficiaries transitioning between Medicaid Direct & Standard Plans11/03/20237.0
Requirements for Sharing Care Plans and Assessments to Support Continuity of Care for Beneficiaries transitioning between Medicaid Direct & Standard Plans11/03/20236.0
Requirements for LME-MCOs to Share Transition of Care Information to support Continuity of Care for Members transitioning between LME-MCOs & Standard Plans5/19/20215
Requirements for Tribal Option to Receive Transition of Care Information to Support Continuity of Care for Member Transitioning Into the Tribal Option3/15/20212