MedicaidAdministrativeMedium impact
NC Medicaid Update on the Care Management for At-Risk Children and Care Management for High-Risk Pregnancy Programs
NC Medicaid - NCDHHS·NC · OB-GYN, Pediatrics, Family Medicine·Provider Bulletin
We identified it
Jun 16, 2026
Summary
NC Medicaid has extended the Care Management for At-Risk Children (CMARC) and Care Management for High-Risk Pregnancy (CMHRP) programs through December 31, 2026. Providers should continue referring eligible high-risk pregnant women and at-risk children to Local Health Departments for these services.
Action Required
Continue current referral processes: Providers must continue referring eligible high-risk pregnant women (ages 14-44) and at-risk children (0-5 years) to Local Health Departments for CMARC and CMHRP services through December 31, 2026. No changes to current billing or referral workflows required at this time.