Topics Related to Division of Health Benefits

To support the SNF and ICF-IID reporting and collection of provider healthcare assessment data.

Expanding Pilot Eligibility to Members in NC Medicaid Direct in Pilot Regions

Billing Requirements for Medicaid Direct Providers

Forum to be held Tuesday, June 25 in Concord.

States must revalidate the enrollment of all providers at least every five years to ensure the information on record is accurate and current.

Look for details on training in June related to these changes.

Withdrawal Management Policies Delayed

The audit will sample fee-for-service claims collected for a full year – July 1, 2024, through June 30, 2025.

Recent State Plan Amendment outlines duties of a responsible third party

New separately reimbursable CPT codes in the ambulatory surgery setting