On January 1, the NC Department of Health and Human Services announced that the state plans to amend Medicaid to raise the rates for Evaluation and Management procedure codes for ACA defined primary care practitioners including PAs. The public notice can be found here.
On August 9, as directed by legislation in 2015 to convert the state’s Medicaid program from fee-for-service to managed care, NC DHHS released the request for proposal for organizations wishing to participate in the state’s Medicaid program as “Prepaid Health Plans (PHPs).” The PHPs chosen through the RFP process will be responsible for delivering services […]
On Friday, the House and Senate voted on the compromise version of HB 156: Medicaid PHP Licensure & Transformation Modifications, which had been in a conference committee since the end of the 2017 session. The bill is now on the Governor’s desk for final approval. The changes included in this legislation build off of the […]
by Sarah Wolfe, Assistant Vice-President, McGuire Woods Consulting Last month, the North Carolina Department of Health and Human Services’ Division of Medical Assistance (DMA) reached out to stakeholder groups, requesting input on various clinical coverage policies. State law requires that the Department consult with and seek advice from the NC Physician Advisory Group and other […]
Important Information for Medicaid and Health Choice Providers: Medicaid announced it will require prior approval for outpatient opioid prescriptions in certain situations. Please click here for details: https://files.nc.gov/ncdhhs/PA_Criteria-Opioid-Analgesics.pdf
The North Carolina Department of Health and Human Services is seeking public input from April 25 to May 25, 2017, at 11:59 p.m. on the Medicaid and NC Health Choice programs transformation (also known as “Medicaid reform”). While all comments are welcome, the Department is specifically looking for input on the following topics: Integrating Primary […]