North Carolina Health Plan Reimbursement Rates

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NC Medicaid Behavioral Health Services Rate Increases

(7 days ago) WEBNC Medicaid Behavioral Health Services Rate Increases. Some services will receive rate increases effective Jan. 1, 2024. The North Carolina General Assembly appropriated $220 million in recurring funds in the Current Operations Appropriations Act …

https://medicaid.ncdhhs.gov/blog/2023/11/15/nc-medicaid-behavioral-health-services-rate-increases

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North Carolina State Health Plan Pricing Policy (the …

(3 days ago) WEBMid-Level Provider Reimbursement 1. The reimbursement rate for physician’s assistants, nurse practitioners, family practice nurses, and nurse midwives will be 85% of the …

https://files.nc.gov/ncshp/documents/provider-resources/NC-State-Health-Plan-Network-Pricing-Policy.pdf

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N.C. State Health Plan Network NC State Health Plan

(Just Now) WEBState Health Plan Network Information for Providers. 2025 NCSHP Network Rate Schedule (Aetna) *2025 NCSHP Network Professional Fee Schedule (Aetna) North …

https://www.shpnc.org/nc-state-health-plan-network

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State Health Plan Clear Pricing Project NC State Health …

(1 days ago) WEBNorth Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC 27604 Map It [email protected] 855-859-0966. About Us. Who We Are. Board of …

https://www.shpnc.org/state-health-plan-clear-pricing-project

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New Fee Schedule and Covered Codes Webpage Live

(1 days ago) WEBAn official website of the State of North Carolina An official website of NC How you know . State Government websites value user privacy. These documents …

https://medicaid.ncdhhs.gov/blog/2022/11/03/new-fee-schedule-and-covered-codes-webpage-live

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NC raising Medicaid rates for behavioral health providers …

(2 days ago) WEBThe N.C. Department of Health and Human Services hopes to make the situation more tenable by raising the minimum reimbursement rates for behavioral …

https://www.wfae.org/health/2023-11-19/nc-raising-medicaid-rates-for-behavioral-health-providers-for-first-time-since-2012

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Medicaid rates increasing for behavioral health providers - NC …

(9 days ago) WEBUnder the current fee schedule, facilities are paid less than $500 a day for inpatient psychiatric care. They will receive nearly $900 under the new rate, according to …

https://www.northcarolinahealthnews.org/2023/11/17/medicaid-rates-increasing-for-behavioral-health/

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Fact Sheet Provider Payment and Reimbursement

(2 days ago) WEBthe defined rate. An alternative reimbursement agreement is not required for health plans to pay more than 100 percent of the rate floor rate. Rate floor services can be identified …

https://medicaid.ncdhhs.gov/provider-playbook-payment-and-reimbursement-fact-sheet/download?attachment

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NC to increase behavioral health reimbursement rates

(5 days ago) WEBMedicaid reimbursement rates for mental health, substance use, disability and traumatic brain injury treatments will increase for the first time in a decade, North …

https://www.axios.com/local/raleigh/2023/11/17/nc-increase-medicaid-behavioral-health-reimbursement-rates

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Clear Pricing Project Archive NC State Health Plan

(1 days ago) WEB3/13/2019 - State Health Plan, Folwell increase reimbursement rates for hospitals; 2/22/2019 - SEANC's Robert Broome explains the Clear Pricing Project; …

https://www.shpnc.org/clear-pricing-project-archive

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Governor Cooper Releases Roadmap for $1 Billion in Behavioral …

(2 days ago) WEBThis investment will ensure that every child and adult in North Carolina can get the help or treatment that they need, when and where they need it.” The key …

https://governor.nc.gov/news/press-releases/2023/03/08/governor-cooper-releases-roadmap-1-billion-behavioral-health-and-resilience-investments

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A guide to the 2023 legislative health budget NC Health News

(3 days ago) WEBAppropriates $110M in recurring funds to increase the Medicaid reimbursement rates for behavioral health providers. Changes implementation date for …

https://www.northcarolinahealthnews.org/2023/06/14/guide-to-health-spending-nc-senate-and-house-budget-proposals/

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North Carolina State Health Plan Network Clear Pricing …

(6 days ago) WEB100% of Current North Carolina Medicare Part B Drug Fee Schedule2 or if not available. 85% of Average Wholesale Price (AWP) 50% of eligible billed charges. f. Services …

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/healthcare-professionals/documents-forms/clear-pricing-project-service-and-rate-schedule.pdf

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Home NC State Health Plan

(2 days ago) WEBThe sustainability of the North Carolina State Health Plan is at risk, and its fate depends on us. Contact Us. North Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC …

https://www.shpnc.org/

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Fee schedules Providers Blue Cross NC

(3 days ago) WEBState Health Plan fee schedules can be accessed by logging in to Blue e or by calling Network Management at 800-777-1643. Blue Cross and Blue Shield of North Carolina …

https://www.bluecrossnc.com/providers/network-participation/fee-schedules

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Community Plan Reimbursement Policies of North Carolina

(Just Now) WEBThis reimbursement policy is intended to ensure that you are reimbursed based on the code that correctly describes the procedure performed. This and other UnitedHealthcare …

https://www.uhcprovider.com/en/health-plans-by-state/north-carolina-health-plans/nc-comm-plan-home/nc-cp-policies/reimbursement-community-state-policies-nc.html

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Fee Schedules Archive NC Medicaid

(9 days ago) WEBFederally Qualified Health Center - Feb. 18, 2022 General - Feb. 17, 2022 Rural Health Center - Feb. 18, 2022. Dietary and Nutritional Services: Jan. 21, 2021: …

https://medicaid.ncdhhs.gov/providers/fee-schedules-archive

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Cooper's health care budget helps NC's most vulnerable NC …

(1 days ago) WEBIt does not specify what the rates would be for each profession. Dentists have been lobbying for a Medicaid reimbursement rate increase since the expansion of …

https://www.northcarolinahealthnews.org/2024/04/25/governors-health-care-budget-proposals-would-help-ncs-most-vulnerable/

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North Carolina Health News: Dentists Lobby for Higher …

(2 days ago) WEBNC Dental Society President, Dr. Robert Stowe and North Carolina dentists are lobbying for higher reimbursement rates. The phones at many dental offices across …

https://www.ncdental.org/about-us/ncds-newsroom/2024/04/18/north-carolina-health-news--dentists-lobby-for-higher-reimbursement-rates

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North Carolina State Health Plan Network Master …

(Just Now) WEBsources, and the process we use to develop, maintain, and update the reimbursement rates. iii. Determination of the applicablereimbursement rate/pricing methodology is …

https://www.shpnc.org/documents/provider-resources/north-carolina-state-health-plan-network-master-reimbursement-exhibit-2021/open

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North Carolina State Health Plan Network Master …

(7 days ago) WEB3. North Carolina State Health Plan Network Master Reimbursement Exhibit July 2020. 212 Diagnostic Physical Therapy 160% 213 Physical Therapy Exercises, Manipulation, …

https://files.nc.gov/ncshp/documents/provider-resources/North-Carolina-State-Health-Plan-Network-Master-Reimbursement-Exhibit_Updated.pdf

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Dentists lobby for higher Medicaid reimbursement rates

(6 days ago) WEBBy Anne Blythe. The phones at many dental offices across North Carolina have been ringing repeatedly in recent months with requests for oral health care from …

https://www.northcarolinahealthnews.org/2024/02/28/dentists-lobby-for-higher-medicaid-reimbursement-rates/

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Payroll and Billing NC State Health Plan

(6 days ago) WEBA complete list of the benefit package tiers, rates and the billing cycle for employing units are available below. Benefits Packages Bill Cycle For e-billing, North Carolina State …

https://www.shpnc.org/hbrs/payroll-and-billing

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Securing North Carolina’s Future: Governor Cooper Presents …

(1 days ago) WEBToday, Governor Roy Cooper released his recommended budget for FY 2024-2025, Securing North Carolina’s Future. The Governor’s plan would raise teacher pay …

https://governor.nc.gov/news/press-releases/2024/04/24/securing-north-carolinas-future-governor-cooper-presents-budget-raises-teacher-pay-secures-child

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