Currently, NCTracks compares the managing employees (ME) listed on an organization's initial enrollment application against the managing employees listed in the Medicare Provider Enrollment, Chain and Ownership System (PECOS). If managing employees listed on the application does not match those listed in PECOS, the application is denied.

On April 1, 2023, beneficiaries currently receiving NC Health Choice coverage will move to NC Medicaid.

Your patients who are eligible for Tailored Care Management will receive a letter between now and November 17th.

Effective Nov. 3, 2022, all fee schedules currently listed on the NC Medicaid website will be moved to a new fee schedule and covered code website available to the public. The new website offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data.

To ensure beneficiaries can seamlessly receive care on day one, the North Carolina Department of Health and Human Services (NCDHHS) will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/ Developmental Disabilities Tailored Plans (Tailored Plans) until April 1, 2023.

This week, the Practice Support Team brings you news from NC Tracks.

Based on the North Carolina State of Emergency established through Executive Order (EO) 116, NC Medicaid implemented temporary changes to clinical policy to support providers and beneficiaries during the COVID-19 State of Emergency.

In late March, NCDHHS held a 'Virtual Office Hours' event covering Provider Enrollment Hot Topics and Reminders.

Updated Single Preferred Drug List (PDL) for Medicaid: A new single Preferred Drug List Formulary became effective April 1. Please note that NC Statute 108D-65(6)(b)  requires all PHPS/Medicaid Plans use the same drug formulary established by the Department.

North Carolina currently ranks 30th in the country in maternal mortality and 39th in infant mortality. In addition, 12% of women in the state experience postpartum depression.