Topics Related to Division of Health Benefits

NC Medicaid Increasing Reimbursement Rates for the Substance Abuse Intensive Outpatient Program and Substance Abuse Comprehensive Outpatient Treatment

Rate Changes are Effective Aug. 1, 2024

Upcoming Changes to Service Location Management; Draft Applications to be Deleted

Effective Aug. 25, 2024, providers cannot modify an existing service location address in NCTracks without creating a new service location address

NC Medicaid to Cover Imported Benzathine Benzylpenicillin Tetrahydrate (Lentocilin): Billing Guidelines

Coverage effective for dates of service from July 26, 2024

NCTracks Multi-Factor Authentication (MFA) Updates Coming Soon for Individual & Business Users

Users must update their NCID profile by Sept. 6, 2024.

Clarification for Clinical Coverage Policies 5A-2, Respiratory Equipment and Supplies and 1A-20, Sleep Studies and Polysomnography Services

Clarification to recent policy and billing questions

1915(i) Updates for Providers

Updates for providers on 1915(b)(3) services ending, new 1915(i) assessment tool and 1915(i) reassessments.

Community Alternatives Program for Disabled Adults 1915(c) Home and Community-Based Services Waiver Renewal

The NC Medicaid Community Alternatives Program for Disabled Adults (CAP/DA) §1915(c) Home and Community-Based Services (HCBS) expires Oct. 31, 2024. NC Medicaid is seeking to renew the waiver for another five years.

2024 HCBS CAHPS Survey Toolkit Available

Information to share with beneficiaries to increase participation

Medicaid to Cover Condoms and Spermicides Over-the Counter

Effective Sept. 1, 2024, NC Medicaid will begin covering condoms and spermicides as over-the-counter products, through the pharmacy benefit.

REMINDER: Expedited Hardship Advances Available for Managed Care Providers

Hardship advances may be available for those at risk of not meeting financial obligations