Get the free North Carolina Medicaid Special Bulletin - ncdhhs

This document outlines the revised Clinical Coverage Policy for Dental Services under the North Carolina Medicaid Program, including coverage details, billing guidelines, and prior approval processes

How to fill out north carolina medicaid special

How to fill out North Carolina Medicaid Special Bulletin

1. Obtain the North Carolina Medicaid Special Bulletin form from the official website or your local Medicaid office.
2. Read the instructions carefully before beginning to fill out the form.
3. Enter the date at the top of the form.
4. Provide detailed information about the recipient, including their name, Medicaid ID number, and any relevant diagnosis.
5. Include the specific services being requested and any supporting documentation needed.
6. Review the eligibility criteria to ensure compliance with Medicaid regulations.
7. Sign and date the form at the designated section to certify the accuracy of the information.
8. Submit the completed form to the appropriate Medicaid office or online portal as directed.

Who needs North Carolina Medicaid Special Bulletin?

1. Individuals or families enrolled in North Carolina Medicaid who require specific services or benefits.
2. Healthcare providers seeking prior authorization for additional services covered under Medicaid.
3. Social workers and case managers assisting clients with Medicaid applications or service requests.

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 tool used by the North Carolina Department of Health and Human Services to inform Medicaid providers and stakeholders about important updates, policy changes, and procedural instructions related to Medicaid services.

Who is required to file North Carolina Medicaid Special Bulletin?

Medicaid providers who are affected by the updates or changes communicated in the Special Bulletin are required to review and, if necessary, implement the instructions contained within it.

How to fill out North Carolina Medicaid Special Bulletin?

Filling out the North Carolina Medicaid Special Bulletin typically involves providing required details such as the provider's information, the specific issue being addressed, and any relevant data or documentation requested in response to the bulletin's announcements.

What is the purpose of North Carolina Medicaid Special Bulletin?

The purpose of the North Carolina Medicaid Special Bulletin is to inform providers about urgent updates, clarify policies, disseminate new guidelines, and ensure that providers can deliver care that complies with the latest Medicaid requirements.

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

Information that must be reported on the North Carolina Medicaid Special Bulletin may include details on service changes, billing procedures, updated provider requirements, and any impact on patient care or eligibility related to Medicaid services.