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NC DMA - Final Spring 2012 Recipient Notice - ncdhhs

NC DMA - Final Spring 2012 Recipient Notice - ncdhhs-2025

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The document is a notice for Medicaid and NC Health Choice recipients, highlighting important updates and changes. It emphasizes the rights of children under 21 to receive necessary medical services through the EPSDT program, outlines new requirements for diabetic supplies, details reporting obligations for changes in personal circumstances, and informs about upcoming changes in behavioral health care management by Local Management Entities (LMEs). Additionally, it provides contact information for reporting fraud and obtaining assistance.

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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 North Carolinas Medicaid program called?

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. Four PHPs are available in all the N.C. counties (with one additional plan also available in a few of the southernmost counties that Access East serves).

What is DHB in NC Medicaid?

DHB. Division of Health Benefits (new name for the Division of Medical Assistance or DMA). It is one of the Divisions of the N.C. Department of Health and Human Services served by NCTracks.

What is NC DHHs DMA?

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.

Does North Carolina have a Medicaid program?

Apply for Medicaid in North Carolina You can enroll by phone at 1-800-318-2596. You can also apply in person at your local County Department of Social Services office or complete a paper application. Eligibility: The aged, blind, and disabled.

What are the timely filing guidelines for Medicaid in NC?

Medicaid claims, except inpatient claims and nursing facility claims, must be received by NCTracks within 365 days of the first date of service to be accepted for processing and payment. Medicaid hospital inpatient and nursing facility claims must be received within 365 days of the last date of service on the claim.

What are the four 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 - Final Spring 2012 Recipient Notice - ncdhhs-2025

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