Topics Related to Division of Health Benefits

NC Medicaid will cover the Acute Hospital at Home Program starting Nov. 1, 2023.

Effective Oct. 1, 2023, copays will no longer be required for adult vaccines and vaccine administration.

Cards are only allowed to be used exclusively for the member’s individual needs.

Effective with date of service May 26, 2023, NC Medicaid covers risperidone extended-release injectable suspension, for subcutaneous use (Uzedy)

Effective with date of service June 2, 2023, NC Medicaid covers epcoritamab-bysp injection, for subcutaneous use (Epkinly)

Additional clarification on implementation

Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services and 8C, Outpatient Behavioral Health Services

More than 600,000 people will gain access to quality care.

Mitigation process for any adverse impact for nursing facilities if a PASRR authorization is delayed.

Near Relatives and Legally Responsible Persons May Deliver Skilled Nursing Service to a PDN-eligible Beneficiary.