Topics Related to Division of Health Benefits

Effective April 1, 2023, NC Medicaid covers ambulatory blood pressure monitoring. This helps confirm or exclude suspected hypertension.

In compliance with federal requirements, beneficiary consent is required for all voluntary sterilizations.

Clarifies requirements related to Research Based-Behavioral Health Treatment and Specialized Consultative Services and New Taxonomy

CCP 1A-39 has been updated to reflect changes in 1905(a) of the Social Security Act

Providers are required to make adequate provision for return of any money incorrectly collected 

Physician’s signature on the CMS 485 Plan of Care form

Provider reverification, Tailored Plans start date Oct. 1, upcoming key milestones, playbook updates, billing requirement modifications and more.

The waiver has received approval for another five years through Feb. 29, 2028.

Implementation guidelines reflect the Tailored Plan launch date of Oct. 1, 2023.

Quarterly assessment rate adjustments begin April 1, 2023