Newsletters and Updates

Provider updates

November 17, 2022
CONNECTIONS and a Clinical Leadership Forum (PDF)
Durable Medical Equipment (DME) Billing Guidance (PDF)

November 11, 2022
Prospective Claims Payment Review Threshold Update (PDF)

November 7, 2022
Electronic Visit Verification (EVV) Reminder for Home Health Care Service (HHCS) Providers (PDF)

October 31, 2022
AmeriHealth Caritas North Carolina Provider Digest October 2022 (PDF)
Topics in this issue: NaviNet and helpful provider resources, Updated Provider Manual now available, 2022 Provider Satisfaction Survey, NEW virtual EPSDT orientation

September 30, 2022
AmeriHealth Caritas North Carolina Provider Notice: Medicaid temporary flexibilities due to Hurricane Ian (PDF)

September 29, 2022
NCDHHS Delays Medicaid Managed Care Tailored Plans (PDF)

September 20, 2022
AmeriHealth Caritas North Carolina Provider Digest September 2022 (PDF)
Topics in this issue: 2022 Provider Satisfaction Survey, EPSDT and Oral Health Periodicity Schedule, NaviNet resources, DEI Training, Introduction to Market President

August 1, 2022
AmeriHealth Caritas North Carolina Provider Digest August 2022 (PDF)
Topics in this issue: Claims payment review process, Updated provider material, Trauma informed care provider resources, COVID incentive update, DE&I training

July 20, 2022
AmeriHealth Caritas North Carolina Provider Digest July 2022 (PDF)
Topics in this issue: Medicaid Managed Care One-Year Anniversary, Encourage your Patients to Quit Tobacco Products, New and Updated Provider Resources, EPSDT Reminder, COVID-19 Report and Reminders, Introduction to Director of Quality Improvement

July 1, 2022
AmeriHealth Caritas North Carolina Provider Notice re: 275 Claim Attachment Functionality (PDF)

June 24, 2022
AmeriHealth Caritas North Carolina Provider Digest June 2022 (PDF)
Topics in this issue: Prior Authorizations Clarification, Medicaid Co-Payments Increase, Provider Reverification, Behavioral Health Fee Schedule Updated, 9-8-8 Suicide Prevention Lifeline Number, Smoking Cessation Trainings, Introduction to Director of Practice Transformation

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)