Topics Related to Division of Health Benefits
All fee schedules currently listed on the NC Medicaid website have been moved to a new Fee Schedule and Covered Code Portal available to the public.
Effective Oct. 1, 2022, Pluvicto must be billed with HCPCS code A9607
Updated HCPCS Code, unit of coverage and maximum reimbursement rate
Key milestones, playbook updates, beneficiary eligibility, reverification, provider records, provider ombudsman, help center and webinars.
This bulletin specifies Medicaid flexibilities ending with the Hurricane Ian state of emergency and those remaining as part of the Federal COVID-19 public health emergency.
Medicaid Home Health Care Services subject to Electronic Visit Verification
Form for nursing facilities and health plans to communicate with DSS
Effective Oct. 1, 2022, Medicaid and NC Health Choice cover Levalbuterol Hydrochloride inhalation solution (Xopenex)
Effective Sept. 15, 2022, Medicaid and NC Health Choice cover Olipudase alfa-rpcp for injection, for intravenous use
Effective Oct. 1, 2022, Medicaid and NC Health Choice cover Ipratropium Bromide/Albuterol Sulfate inhalation solution