Get the free North Carolina Medicaid Special Bulletin - ncdhhs

This document serves as a guide for health care providers in North Carolina, detailing billing requirements, procedure codes, and important information regarding the Medicaid Health Check program

How to fill out north carolina medicaid special

How to fill out North Carolina Medicaid Special Bulletin

1. Obtain a copy of the North Carolina Medicaid Special Bulletin from the official Medicaid website or office.
2. Read the instructions provided in the bulletin carefully to understand the requirements and guidelines.
3. Fill out personal information, including your name, address, and Medicaid identification number.
4. Provide detailed information regarding the specific services or items being requested, including dates and descriptions.
5. Attach any required documentation or supporting information as specified in the bulletin.
6. Review the completed form for accuracy and completeness before submission.
7. Submit the form through the designated method, whether by mail, email, or online portal, as instructed in the bulletin.

Who needs North Carolina Medicaid Special Bulletin?

1. Individuals applying for Medicaid services in North Carolina.
2. Healthcare providers submitting claims or seeking reimbursements from Medicaid.
3. Organizations and institutions that provide care and services funded by Medicaid.

People Also Ask about

Did Medicaid expansion pass in NC?

Click here for information about what you need to do. In 2023, North Carolina became the 40th state to expand Medicaid when the N.C. General Assembly passed House Bill 76 and Governor Roy Cooper signed it into law. Medicaid expansion in North Carolina went live on December 1, 2023.

How much money can you have in the bank to qualify for Medicaid in NC?

The “spend down” amount is the difference between one's monthly income and the MNIL. In NC, it is calculated for a 6-month period. Once the “spend down” is met, one will be income-eligible for the remainder of the period. The medically needy asset limit is $2,000 for an individual and $3,000 for a couple.

What is NC Medicaid called now?

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.

What is changing about Medicaid, NC?

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.

What is the highest income to qualify for Medicaid in NC?

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.

What are the changes for Medicaid in NC 2025?

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.

What is the new income limit for Medicaid in NC?

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.

For pdfFiller’s FAQs

What is North Carolina Medicaid Special Bulletin?

The North Carolina Medicaid Special Bulletin is a communication issued by the North Carolina Medicaid program that provides updates, guidelines, policies, and instructions related to Medicaid services and procedures.

Who is required to file North Carolina Medicaid Special Bulletin?

Providers who participate in the North Carolina Medicaid program are required to file the North Carolina Medicaid Special Bulletin when necessary, particularly if they are involved in activities or services addressed in the bulletin.

How to fill out North Carolina Medicaid Special Bulletin?

To fill out the North Carolina Medicaid Special Bulletin, providers should follow the guidelines outlined in the bulletin, providing accurate and complete information as requested, usually including provider details, service descriptions, and relevant data.

What is the purpose of North Carolina Medicaid Special Bulletin?

The purpose of the North Carolina Medicaid Special Bulletin is to inform Medicaid providers about important updates, changes in policy, new procedures, billing information, and other relevant information that impacts the delivery of Medicaid services.

What information must be reported on North Carolina Medicaid Special Bulletin?

The information that must be reported on the North Carolina Medicaid Special Bulletin includes provider identification, service details, required documentation, and any specific data or actions mandated by the bulletin guidance.