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Get the free North Carolina Medicaid Bulletin - ncdhhs

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This bulletin provides essential updates and information for healthcare providers participating in the North Carolina Medicaid Program, including coverage policies, fee schedules, and rate changes
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How to fill out north carolina medicaid bulletin

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How to fill out North Carolina Medicaid Bulletin

01
Obtain the North Carolina Medicaid Bulletin form from the official Medicaid website or your healthcare provider.
02
Read the instructions carefully to understand the specific requirements for completion.
03
Fill out the patient information section, including the patient's name, date of birth, and Medicaid ID number.
04
Provide details about the service or procedure being reported, including the date of service, provider information, and any relevant codes.
05
Include any necessary documentation or attachments that support the service or claim.
06
Review the completed form for accuracy and completeness.
07
Submit the completed Bulletin to the appropriate Medicaid office by the specified deadline.

Who needs North Carolina Medicaid Bulletin?

01
Healthcare providers who deliver services to Medicaid recipients in North Carolina.
02
Medicaid recipients who want to report services or issues related to their coverage.
03
Administrative staff responsible for managing Medicaid claims and billing.
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In December 2023, North Carolina became the 40th state to expand eligibility for Medicaid, opening up the government-funded health insurance program to low-income adults who previously made too much money to qualify.
0:34 1:59 First up we have the traditional Medicaid this one's the original. Program it covers hospital visitsMoreFirst up we have the traditional Medicaid this one's the original. Program it covers hospital visits doctor appointments.
Under the expanded eligibility guidelines, Medicaid is available in North Carolina to a single adult with annual income up to about $20,782 in 2024 (this is 138% of the federal poverty level), and to adults in a family of three with a household income up to about $35,631/year.
North Carolina's Transformation to NC Medicaid Managed Care On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services under NC Medicaid Managed Care. With managed care, beneficiaries choose a health plan and get care through the health plan's network of doctors.
NC Medicaid Direct is North Carolina's health care program for NC Medicaid beneficiaries who are not enrolled in NC Medicaid Managed Care. It includes care management by Community Care of North Carolina (CCNC), the primary care case management entity for physical health services.
Alliance Health provides Medicaid beneficiaries with behavioral health, intellectual/developmental disability (I/DD) and traumatic brain injury (TBI) services to meet their needs.

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The North Carolina Medicaid Bulletin is a communication tool used by the North Carolina Medicaid program to inform providers, beneficiaries, and other stakeholders about changes in policy, procedure, and updates related to Medicaid services.
Healthcare providers who offer Medicaid services in North Carolina are required to file the North Carolina Medicaid Bulletin to ensure compliance with Medicaid regulations and to stay updated on any changes.
To fill out the North Carolina Medicaid Bulletin, providers must complete the required sections accurately, providing detailed information about the services rendered and any necessary supporting documentation as specified in the bulletin guidelines.
The purpose of the North Carolina Medicaid Bulletin is to provide essential information regarding policy updates, billing practices, and Medicaid service delivery, ensuring that providers are well-informed and compliant with current regulations.
The information that must be reported on the North Carolina Medicaid Bulletin includes the provider's details, recipient information, service codes, dates of service, and any relevant documentation as outlined in the bulletin instructions.
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