Topics Related to Division of Health Benefits

Clinical Coverage Policy 8A, Mobile Crisis Management and State Plan Update

Federal law requires all Medicaid providers to complete the recredentialing process.

This bulletin replaces Updated Sterilization Consent Form published on Feb. 14, 2023.

The sterilization consent form found on the U.S. Department of Health & Human Services website has been updated.

Effective Dec. 1, 2022, Medicaid and NC Health Choice cover teplizumab-mzwv injection.

Effective Nov. 16, 2022, Medicaid and NC Health Choice cover tremelimumab-actl injection.

Effective Dec. 15, 2022, Medicaid and NC Health Choice cover mirvetuximab soravtansine-gynx injection.

The federal fee for Medicaid enrollment has increased to $688 for calendar year 2023.

Claims submitted to a health plan have a timely filing claims processing deadline of 180 calendar days

Policy updates for NC Medicaid Direct beneficiaries in the Obstetrical Services and Pregnancy Management Program policies, retroactive to Jan. 1.