Topics Related to Division of Health Benefits

Effective Feb. 16, 2024, individuals requesting to receive services may be placed on a waitlist.
Clarification on the expiration of S.L. 2022-74 Section 9K.3 supervision flexibilities and a new taxonomy for Behavioral Analyst
Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)
Guidance for ophthalmologists, optometrists and opticians regarding clinical coverage policies for medical and routine eye exams and visual aids.
This rate increase in the latest Physician Administered Drug Program fee schedule supports treating Medicaid members for Congenital Syphilis.
Fee schedule rate corrected on Feb. 5, 2024.
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of Dec. 1, 2023, is posted.
NC Medicaid began accepting Federally-facilitated Marketplace Eligibility Determinations Feb. 1, 2024
Eastpointe and Trillium Health Resources have consolidated into one entity, and Sandhills Center has dissolved.