Newsletters and Updates

Provider updates

May 24, 2022
Special Notice for Behavioral Health Providers

The North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services and the Department of Information Technology will be updating the IRIS system on May 25th. IRIS will be unavailable for all users beginning Wednesday, May 25th beginning at 7:00 a.m. and is expected to be available at 8:00 a.m. on Wednesday, May 25th.
Since IRIS reports are due within 72 clock hours from the time that the provider learns of an incident, providers may obtain a hard copy of the report from the IRIS website before Wednesday morning or print forms from the DHHS website.
Reports can be submitted to the LME-MCO (Host and Home) via their fax and to DMH/DD/SAS Customer Service and Community Rights Team via fax at 919-733-4962 within specified timeframes and procedures. Providers will still need to enter the report into IRIS once the system is available. Reports to be filed with DHSR Healthcare Personnel Registry should be faxed to HCPR within specified timeframes at 919-733-3207. Reports regarding Deaths (suicide, homicide/violence, accident, or restraint) in a licensed facility should be reported to DHSR Complaint Intake Unit via fax at 919-715-7724.

May 19, 2022
AmeriHealth Caritas North Carolina Provider Digest May 2022 PDF
Topics in this issue: Options for Pharmacy Prior Authorizations, COVID-19 report and reminders, Self-Paced DE&I Training, Introduction to Behavioral Health Medical Director.

April 20, 2022
AmeriHealth Caritas North Carolina Provider Digest April 2022 PDF
Topics in this issue: Coverage updates, Prospective Claims Payment Review Process, Pharmacy news, NaviNet Resources, Healthy Opportunities Pilot program, New Population Health Director.

March 30, 2022
AmeriHealth Caritas North Carolina Provider Digest March 2022 PDF
Topics in this issue: EFT enrollment, Pharmacy Prior Authorizations, Preferred Drug List Updates, COVID Vaccination Eligibility and Overdue Report, New Provider Network Management Director.

March 23, 2022
NCDHHS Bulletin: Medicaid for Pregnant Beneficiaries Extended to 12 Months After Birth

March 21, 2022
NCDHHS Bulletin: Extension of NC State of Emergency Temporary Flexibilities

February 18, 2022
AmeriHealth Caritas North Carolina Provider Digest February 2022 PDF
Topics in this issue: Claims Submission alert, New Online Training Available, Trauma-informed Care Education Series.

January 10, 2022
NCDHHS Bulletin: NC Medicaid Omicron COVID-19 Surge: Update on vaccines and providing ongoing flexibilities 

November 23, 2021
AmeriHealth Caritas North Carolina Provider Digest November 2021 PDF
Topics in this issue: COVID-19 Vaccination Incentive, Group Level Disenrollment Reports, Prior Authorizations, EFT Payments.

September 21, 2021
NCDHHS Bulletin: Keep NCTracks Records Current to Avoid Claims Processing Issues

September 13, 2021
AmeriHealth Caritas North Carolina Provider Digest September 2021 PDF

September 1, 2021
NCDHHS Bulletin: Temporary Provisions for COVID Surge: Post-Acute PA Exceptions and Hospital at Home Program

August 13, 2021
AmeriHealth Caritas North Carolina Provider Digest August 2021 PDF
Topics in this issue: Prior Authorization – Specialized Therapies, Clinical Policies, Claims and Billing Guide Update and EFT enrollment reminder.

July 15, 2021
NCDHHS Bulletin: Adding Billing, Rendering and Attending Provider Taxonomy to Professional and Institutional EDI Claims

July 14, 2021
AmeriHealth Caritas North Carolina Provider Digest July 2021 PDF

July 14, 2021
Behavioral Health Fee Schedule Update PDF

July 9, 2021
NCDHHS Fact Sheet: Managed Care Claims and Prior Authorization Submission: Frequently Asked Questions – Part 2

July 2, 2021
Inpatient Discharge Planning Needs PDF

June 30, 2021
Member ID Card Changes and Panel Roster Updates PDF

June 29, 2021
NCDHHS Bulletin: Children’s Developmental Services Agency Providers Carved Out of Managed Care

June 25, 2021
About our Adult Vision Value Added Service PDF

June 16, 2021
Let's Get Started (EFT Sign-up, Jiva Training and Events) PDF

April 30, 2021
Ancillary Services Provider Agreement Modification Notice PDF