Topics Related to Division of Health Benefits

Regulatory Reform Act in October 2023 Updates regarding the N.C. Health Information Exchange Authority
Effective Nov. 1, 2023, ambulance providers may receive reimbursement from NC Medicaid when they treat and stabilize a beneficiary at the scene.
Instructions for providers requesting removal of NC Medicaid Direct members from their patient panel
This bulletin provides updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023 (SL 2023-134).
Providers should submit claims for dates of service that now fall in NC Medicaid Direct.
Effective Sept. 1, 2023, NC Medicaid will cover functional magnetic resonance imaging (fMRI).
Use the latest form when submitting to the NC Medicaid fiscal agent
Effective Nov. 1, 2023, NC Medicaid will remove all copay requirements for antiretroviral medications which decrease viral load in patients with HIV.
This bulletin contains information on flexibilities that are ending six months after the end of the Federal Public Health Emergency on Nov. 11, 2023.