Get the free North Carolina Medicaid Special Bulletin - ncdhhs

This bulletin outlines the implementation of penalties and interest assessments under the North Carolina Medicaid Program for balances not paid within 30 days, as mandated by NC General Statute 147-86.10.

How to fill out north carolina medicaid special

How to fill out North Carolina Medicaid Special Bulletin

1. Begin by downloading the North Carolina Medicaid Special Bulletin from the official website.
2. Review the bulletin to understand the requirements and specific information needed.
3. Fill in the patient's personal information, including name, date of birth, and Medicaid number.
4. Provide details about the services or items being requested, including descriptions and codes where applicable.
5. Indicate the reason for the request and any supporting information required.
6. Sign and date the form to certify that the information provided is accurate and complete.
7. Submit the completed bulletin via the specified submission method (e.g., mail, fax, or online).

Who needs North Carolina Medicaid Special Bulletin?

1. Health care providers submitting requests for prior authorizations or service modifications.
2. Patients seeking clarification on their Medicaid services or coverage.
3. Administrators in facilities that provide Medicaid services needing to update their records.

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?

North Carolina Medicaid Special Bulletin is a communication tool used by the North Carolina Medicaid program to provide important updates, policy changes, and information to healthcare providers and stakeholders involved in the Medicaid system.

Who is required to file North Carolina Medicaid Special Bulletin?

Healthcare providers, Medicaid program participants, and any stakeholders who are affected by the updates or changes communicated in the Special Bulletin are required to file or comply with its contents.

How to fill out North Carolina Medicaid Special Bulletin?

To fill out the North Carolina Medicaid Special Bulletin, follow the instructions provided in the bulletin itself, ensuring to include all required information, such as provider details, relevant dates, and the specific data required for compliance.

What is the purpose of North Carolina Medicaid Special Bulletin?

The purpose of the North Carolina Medicaid Special Bulletin is to inform and educate Medicaid providers and stakeholders about changes in policies, procedures, and regulations to ensure compliance and continuity of care.

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, specific changes or updates being communicated, effective dates, and any relevant instructions for compliance.