Topics Related to Division of Health Benefits

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.
Information on Credentialing Committee, Children and Families Specialty Plan (CFSP) and Upcoming Application Changes.
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements.
Effective Oct. 1, 2025, NC Medicaid coverage for GLP-1s for the treatment of obesity will be discontinued.
Implementation of the initiative is paused until further notice.