Provider Outreach to Members

Some providers are encouraging patients to sign up for managed care (i.e. the Standard Plans) and listing the health plans they have contracted with to help patients with health plan selection. We welcome this engagement from our providers, but please note that not all Medicaid members are moving to managed care now. We understand receiving letters or other information from providers to sign up for a health plan is causing some confusion for our members who are not required to sign up at this time.

Members who are not required to sign up include those on the Innovations Waiver or people receiving intensive mental health or substance abuse services.

If you hear from your provider conducting outreach, we encourage you to call the NC Medicaid Enrollment Broker at 833-870-5500 (TTY: 833-870-5588). The enrollment broker can tell you if you are required to sign up for Medicaid Managed Care at this time and can help you with making an informed choice if you are.

Clinical Communication Bulletins



Clinical Communication Bulletins are notices sent to Network Providers periodically regarding issues that may affect clinical operation areas. 

Clinical Communication Bulletins

Clinical Communication Bulletin 020

  • Change in State Funded Benefit Plan

Frequently Asked Questions Clinical Communication #020 Posted June 03, 2021


Clinical Communication Bulletin 019

  • ICD 10 diagnosis

Clinical Communication Bulletin 018

  • Day Treatment Service Expansion Notice to Providers

Clinical Communication Bulletin 017

  • CPT Transition code information on Research Based Behavioral Health Treatment (RB-BHT)

Clinical Communication Bulletin 016

  • Psychological Testing codes

Clinical Communication Bulletin 015

  • Changes to the State Benefit Plan

Clinical Communication Bulletin 014

  • LME-MCO Communication Bulletin #J307: NC Innovations Waiver Flexibility Due to Hurricane Florence and flexibility related to other funding streams.

Clinical Communication Bulletin 013

  • Soft Start on Authorizations in Columbus County

Clinical Communication Bulletin 012

  • Changes to the State Benefit Plan

Clinical Communication Bulletin 011

  • Intermediate Care Facilities (ICF) Authorization Guideline Update

Clinical Communication Bulletin 010

  • Nash County Authorization Process
    (All questions related to this Clinical Communication Bulletin can be sent to Questions will be responded to as quickly as possible)


Clinical Communication Bulletin 009

  • Trillium Benefit Plan Updates
Clinical Communication Bulletin 008
  • Programs to Serve Children with Medicaid using Applied Behavior Analysis
 Clinical Communication Bulletin 007
  • Medicaid Funded Services Plan benefit changes
  • State Funded Services Plan benefit changes
  • Innovations Waiver update, Medicaid (b)(3)
  • Services Plan benefit changes
  • Scope of practice for offering Functional Behavior Assessments

Frequently Asked Questions Clinical Communication #007

Clinical Communication Bulletin 006
  • Updates related to Medicaid (B) (3) and State Plan Benefits and Service Orders
 Clinical Communication Bulletin 005
  • Third Party Liability for Mental Health and Substance Use Services
Clinical Communication Bulletin 004
  • State and B3 Benefit Plan updates
Clinical Communication Bulletin 003
  • Updates related to service orders, expectations for crisis plans, B3 denials, and DSM-5 
Clinical Communication Bulletin 002
  • Short Range Goals, Quarterly Progress Summaries, Provider Submission of Treatment Authorization Requests (TARs)
Clinical Communication Bulletin 001
  • Trillium Benefit Plan - Medicaid B, Medicaid C, 
    Medicaid (b)(3), and State

Frequently Asked Questions Clinical Communication # 001


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