Provider Bulletins
Medicaid
- Provider Updates
- UNC TEACCH Announcement of educational opportunity (PDF)
- Clean Claim Review of High-Dollar Inpatient Medicaid Claims – Effective April 1, 2025 (PDF)
- State Extends Hurricane Helene Policy Flexibilities
- New Clinical Policies: Polymerase Chain Reaction Respiratory Viral Panel Testing & Visual Field Testing
- Reducing the Risk of Opioid Overuse and Misuse
- Collaborative Care Management Capacity Building Fund Award Program
- NC HealthConnex Support Post-Hurricane
- Project ECHO Autism-Primary Care Providers
- Provider Updates - Existing Policies
- WellCare of North Carolina Provider Notification - August 2024
- WellCare of North Carolina - Monthly Provider Email - June 2024 Edition
- Enhancements and Improvements at WellCare of North Carolina: April 2024 Update
- Changes to the North Carolina Medicaid Behavioral Health Services Fee Schedule
- Balance Billing Flyer (PDF)
- Encounters with Revenue Code 25x or 63x with NDC and a DOS prior to May 1, 2022
- Resolving Payment Discrepancies on Claims
- New Evolent Cardiology Program – Authorization Codes Beginning May 1, 2024
- New Evolent Oncology Program – Authorization Codes Beginning May 1, 2024
- Notification of Withholds, Incentive Payments, and Quality Metrics for Healthy Opportunities Pilots VBP Period 3 Implementation
- Provider Alert: Change Healthcare Cybersecurity Incident and Its Impact to WellCare of North Carolina
- Evolent MSK IPM Program
- The State of North Carolina to Expand Medicaid Effective December 1, 2023
- Prior Authorization Codes for Leg Stents and Related Services
- Find-a-Provider Directory Communications: Phase 1
- Change in the Pharmacy Network for WellCare Members
- EDI-275: Additional Provider Portal Functionality
- Prescribing Antipsychotic Medications
- Flu Shot Tip Sheet
- 340B Provider and Claim Submission Requirements
- First-Line Psychosocial Care for Children & Adolescents on Antipsychotics (APP)
- Expiration of Behavioral Health COVID Flexibilities
- Prior Authorization Reduction Update
- Medicaid Eligibility Renewal
- ICD–10 Correct Coding Edits
- Update: Treatment Room Payment Policy
- Assess, Educate and Treat Patients with Depression
- InterQual Criteria Rollout
- Inter-Facility Transport Provider Bulletin (WellCare & MTM)
- Waiver of Concurrent and Level of Care Reviews for Inpatient Admissions
- Important Notice: Provider Capitation Overpayment Recoupment
- New Somatus Care Management Program for patients with CKD/ESRD
- Wellcare's Provider Portal - Providers Love Our New Chat!
- Temporary Provisions for COVID-19 Surge: Post-Acute Care and Hospital at Home
- Division of Health Benefits DHB Notice
- Transition of Care (TOC) Authorization Information
- WellCare’s Provider Portal – Now with Improved Live Chat
- 275 Claim Attachment Transactions via EDI
- National Imaging Associates (NIA) Implementation Announcement
- North Carolina Medicaid Good Faith Contracting Policy
- North Carolina Medicaid Expansion Announcement
- Provider Behavioral Health Update Letter