Fee schedules impacted by rate reductions will be released Oct. 1 2025, but are subject to change if additional appropriations are made available.
Topics Related to Division of Health Benefits
Current Procedural Terminology (CPT) code 99177, Screening of Eye with Special Instrument Onsite Analysis is separately reimbursable effective Nov. 1, 2024.
Providers and pharmacies should always use NCTracks to confirm Medicaid eligibility
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
Effective Sept. 16, 2025, the Total Cost of Care Dashboard is decommissioned.
Join NC Medicaid and the Health Plans on October 8 for the virtual quality forum
The first meeting for the new Credentialing Committee is slated for Oct. 8, 2025.
The purpose of this bulletin update is to provide clarification that Current Procedural Terminology (CPT) Code 99494 is allowed to be billed up to four times per month, effective July 1, 2024.
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
The Centers for Medicare & Medicaid Services (CMS) released the 2026 ICD-10 code list effective Oct. 1, 2025.