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NC DMA HIPAA Code Conversion - ncdhhs

NC DMA HIPAA Code Conversion - ncdhhs 2025

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The North Carolina Medicaid Special Bulletin IV, published in August 2002, provides updates on new procedure codes and billing guidelines for various health services under the Medicaid program. It includes information on oral screenings, maternal and child services, refugee health assessments, sexually transmitted disease treatments, and guidelines for health departments and providers. The bulletin emphasizes compliance with HIPAA regulations and outlines eligibility criteria, coverage details, and billing processes for different medical services aimed at improving healthcare access for pregnant women, children, and other vulnerable populations.

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Begin by reviewing the Table of Contents to familiarize yourself with the sections relevant to your needs, such as new codes for oral screenings and billing guidelines.
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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is NC Medicaid Direct the same as Medicaid?

NC Medicaid Direct is North Carolinas 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 the Medicaid program called in NC?

N.C. has several different Medicaid programs; Access East works directly with the two most common: Medicaid Managed Care: The largest NC Medicaid program. People join one of several available standard health plans, officially known as prepaid health plans, or PHPs.

How do I contact NC Medicaid direct?

To learn more about NC Medicaid Direct, call 1-888-245-0179. Is Medicaid eligibility changing?

What is NC Medicaid called now?

North Carolinas 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 plans network of doctors.

What is NC Medicaid B?

The (b) Waiver allows Medicaid beneficiaries to enroll in managed care plans and allows Medicaid to limit the provider network based upon needs of recipients.

Are there two different types of Medicaid?

0:22 1:59 First up we have the traditional Medicaid. This ones the original program it covers hospital visitsMoreFirst up we have the traditional Medicaid. This ones the original program it covers hospital visits doctor appointments. And even long-term Medical Care.

NC DMA HIPAA Code Conversion - ncdhhs 2025

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