A Nurse’s Perspective on What the New Federal Requirements Mean for Patients By Nurse Toya, RN | OJM Global Care Quick answer: New federal rules from CMS are reshaping prior authorization in two stages. Since January 1, 2026, affected health plans must decide expedited requests within 72 hours and standard...
Four NC Medicaid changes are coming. Eligibility rules for certain non-citizens change October 1, 2026. Beginning January 1, 2027, some adults ages 19 through 64 must meet work or community engagement requirements, renew every six months instead of annually, and will receive less retroactive coverage. You can meet the work...
By OJM Consulting & Coaching, PLLC “You don’t have to navigate healthcare alone. Sometimes, the right resource at the right time can change everything.” Quick answer: Wake County offers a wide range of senior and caregiver resources, including aging services, transportation, meal programs, caregiver support, financial assistance, mental health resources,...
To qualify for Medicaid Personal Care Services in North Carolina, a person must be enrolled in NC Medicaid, have a medical condition, disability, or cognitive impairment, and show an unmet need for hands on help with Activities of Daily Living. Under current state criteria, that generally means needing limited hands...
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