NCDHHS Resources and Updates

Medicaid Bulletin

Get the latest information about Medicaid in North Carolina. Visit this site for updates and resources. Opens a new window

Medicaid Fact Sheets

Access information from North Carolina Department of Health and Human Services (NCDHHS) on Medicaid managed care transformation. Visit NCDHHS’s website to access the list of Medicaid Fact Sheets Opens a new window.

Provider Playbook

Access the latest information, tools and other resources from NCDHHS to help you and your patients transition smoothly to Medicaid managed care. Visit NCDHHS's website to access the Provider Playbook Opens a new window.

County Playbook

NCDHHS is committed to providing our county partners with resources to help Medicaid beneficiaries transition smoothly to managed care. This webpage is your "County Playbook," a place where general and detailed information will be stored to help you support North Carolina's transformation to Medicaid managed care. Visit your County Playbook Opens a new window often for new additions.

Advanced medical homes

The NCDHHS developed the Advanced Medical Home (AMH) program as the primary vehicle for delivering care management as the state transitions to Medicaid managed care. The AMH program builds on the Carolina ACCESS program. Visit this site Opens a new window for new updates, training and additional resources.

NCTracks

NCTracks is the multi-payer Medicaid management information system for NCDHHS. Learn more on the website Opens a new window.

Preferred Drug List

Visit this site to get the most up-to-date version of the North Carolina Medicaid Preferred Drug List.

Access policy for state-selected model drugs

 

NC Medicaid Cell & Gene Therapies Clinical Coverage Policy No: 1S-13

Amended date: April 1, 2025

To all beneficiaries enrolled in a Prepaid Health Plan (PHP): For questions about benefits and services available on or after implementation, please contact your PHP.

Prior Approval Drug Criteria

Updated August 1, 2025

Prior authorization (PA) is required for certain drugs prescribed to NC Medicaid recipients. Refer to the link below for specific criteria. Providers may submit requests for approval via fax, phone or via the NCTracks secure portal. The portal is the most efficient method for PA processing.