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NC DMA : March 2005 Medicaid Bulletin - ncdhhs

NC DMA : March 2005 Medicaid Bulletin - ncdhhs-2025

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The North Carolina Medicaid Bulletin from March 2005 provides updates and information for various healthcare providers regarding clinical coverage policies, reimbursement rate changes, new Medicaid programs, and billing guidelines. Key topics include the introduction of the Piedmont Cardinal Health Plan, updates on Early Periodic Screening Diagnosis and Treatment (EPSDT), fee schedules for different services, and specific billing instructions for mental health services and durable medical equipment. The bulletin emphasizes the importance of prior authorization for certain services and encourages provider participation in a survey to improve the upcoming NCLeads system.

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What is the income limit for expanded Medicaid in NC?

North Carolina expanded who can get Medicaid starting December 1, 2023. Adults ages 19 through 64 earning up to 138% of the federal poverty line (e.g., singles earning about $1,730/month or families of three earning about $2,970/month) may be eligible.

What is DMA in medical terms?

PROGRAM DESCRIPTION. The Medical Assisting program provides didactic and in-the-field learning experiences that will enable students to enter the workforce as entry-level medical assistants. Students will be qualified to work as a Clinical or Administrative Medical Assistant.

Do you automatically qualify for Medicaid with disability in NC?

S-ABD, SSI cases Full Medicaid coverage only if a Medicaid application is submitted Beneficiaries receiving Supplemental Security Income (SSI) -Federal cash assistance program for the aged, blind, and disabled, are automatically entitled to Medicaid.

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What is Medicaid lookback in NC?

The Medicaid Look-Back Period is the timeframe in which an applicants financial records are reviewed to determine the applicants eligibility for Medicaid. In North Carolina (and in most other states), the Medicaid Look-Back Period is 60 months.

What does NC Medicaid cover for adults?

You may be able to get health care coverage through Medicaid even if you did not qualify before. NC Medicaid pays for doctor visits, yearly check-ups, emergency care, dental care, mental health and more at little or no cost to you.

What is the highest income to qualify 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.

What is DMA in NC?

The. Division of Medical Assistance manages the North Carolina Medicaid and Health Choice for Children programs. Medicaid. provides health insurance for low-income children, families of dependent children, pregnant women, seniors, and.

What are the 5 managed Medicaid plans in NC?

NC Medicaid Managed Care Health Plans AmeriHealth Caritas North Carolina, Inc. Prepaid Health Plan; Statewide. Healthy Blue of North Carolina Prepaid Health Plan; Statewide. UnitedHealthcare of North Carolina, Inc. Prepaid Health Plan; Statewide. WellCare of North Carolina, Inc. Carolina Complete Health, Inc.

NC DMA : March 2005 Medicaid Bulletin - ncdhhs-2025

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