While most of the state of North Carolina is currently experiencing low levels of COVID-19, there are counties across our state that are not.

All health plans offer the same basic benefits and services. Some health plans  also offer added services. View health plans  to learn about the added services that each health plan offers.

Medicaid and prepaid health plans (PHPs) have identified a trend in claim denials related to taxonomy enrollment and credentialing. As a reminder, the taxonomy submitted on a claim for billing, rendering and attending providers must be a taxonomy for which the provider is enrolled with NC Medicaid. 

Have you received funds through HRSA's Provider Relief Fund? News you can use:

On March 1, 2022,  The Food and Drug Administration alerted  health care providers and the public to three COVID-19 antigen tests that are not authorized or approved for distribution or use in the United States. Due to the potential for false results, FDA said providers should consider retesting patients with an authorized test if these tests were performed less than two weeks ago and they suspect an inaccurate result. (Source: American Hospital Association )

In response to the ongoing COVID-19 public health emergency, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing three new diagnosis codes into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for reporting COVID-19 vaccination status, effective April 1, 2022.

Save the date for a webinar brought to you by our colleagues at Mountain Area Health Education Center

Healthy Blue, an NC Medicaid Pre-Paid Health Plan, has updated its Healthy Blue Provider page to include a 'Known Issues Bulletin' of issues the PHP is working to resolve.

Each of the 15-minute activities uses the Results-Based Accountability framework of 'Turn the Curve' thinking, and can be taken at your own pace from a computer, tablet or smartphone.