Topics Related to Division of Health Benefits

Effective with date of service March 7, 2023, NC Medicaid and NC Health Choice programs cover aprepitant injectable emulsion.

Fact sheets covering Provider payment, reimbursement, claims submissions and prior authorization have been recently published on the NC Medicaid website.

Update includes provider verification, billing requirement modifications; Tailored Plan implementation, upcoming key milestones, playbook updates and more.

Effective July 1, 2023, the visit record must match the claim submitted to NCTracks. This bulletin provides additional information and resources.

Effective Jan. 1, 2023, the minimum age was adjusted from 50 years to 45 years.

Effective with date of service Jan. 1, 2023, the following new CPT codes as separately reimbursable in the ambulatory surgery setting

FDA approvals of these drugs were withdrawn.

The review must be performed before anyone can be admitted to a Medicaid-Certified nursing facility.

The federal COVID-19 Public Health Emergency (PHE) ends today, May 11, 2023. This bulletin contains information on the reverification process.

The federal COVID-19 Public Health Emergency (PHE) will end May 11, 2023. This bulletin contains important information on the reverification process.