Topics Related to Division of Health Benefits
This bulletin applies to all NC Medicaid Managed Care providers.
NC Medicaid is now routing dual-eligible beneficiary Professional and Institutional Medicare Crossover claims to the designated NC Medicaid Managed Care payor.
The sterilization consent form on the U.S. Department of Health and Human Services website has been updated.
Effective with date of service Aug. 1, 2025, NC Medicaid covers benzathine benzylpenicillin (Extencilline®) and benzathine benzylpenicillin tetrahydrate (Lentocilin).
NC Medicaid is implementing changes to the Nursing Facility process to support providers and members.
The revised NC Medicaid 1915(i) Assessment includes new date fields and must be used starting Oct. 1, 2025.
NC Medicaid is announcing the Recovery Audit Contractors program kick-off and upcoming Provider Outreach webinar.
Announcing Coverage-67516 Suprachoroidal Space Injection of Pharmacologic Agent (separate procedure)
Current Procedural Terminology code 67516 has replaced category III code 0465T.
NC Medicaid is providing updated information to providers about new federal prohibitions on certain providers.
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.