NC Medicaid has revised or removed several Tailored Care Management trainings, and identified a refresher and elective curriculum.
Topics Related to Division of Health Benefits
Request to Move forms for members in the Children and Families Specialty Plan to move to a Behavioral Health I/DD Tailored Plan do not need to complete a Service-associated Request.
Providers should continue to follow the certification and waiver requirements described below.
This guidance is based on the NC Immunization Program/Vaccines for Children guidelines.
This guidance is based on products approved by the FDA and recommended by the CDC Advisory Committee on Immunization Practices.
Exclusion Sanction questions must be accurately answered on applications and new adverse actions must be reported to the Department.
Wegovy and Zepbound for indications other than weight loss to be covered based on the indications and usage criteria published in the FDA label, pending updated clinical criteria.
A psychiatric diagnostic interview (Current Procedural Terminology 90792) may qualify as a Comprehensive Clinical Assessment if it meets all requirements.
Effective Oct. 1, 2025, NC Medicaid adjusted the provider assessment rates.
This bulletin replaces in full NC Medicaid Rate Reductions – Effective Oct. 1, 2025, published Sept. 25, 2025.