Topics Related to Division of Health Benefits

Effective Oct. 1, 2022, Medicaid and NC Health Choice cover Albuterol Sulfate inhalation solution (0.021%, 0.042% and 0.083%)
Effective Oct. 1, 2022, Medicaid and NC Health Choice cover Ipratropium Bromide inhalation solution, 0.02%
Claims submitted with missing or invalid billing, rendering, and/or attending provider taxonomy codes is a top reason for claim denials
Effective Nov. 3, 2022, fee schedules currently listed on the NC Medicaid website will move to a new public fee schedule and covered code website.
Effective Aug. 1, 2022, Medicaid and NC Health Choice cover measles, mumps and rubella vaccine, live, suspension for subcutaneous injection (Priorix)
Medicaid and NC Health Choice programs cover monkeypox vaccine Jynneos™
Town hall and training webinars for vendors and providers
Update for Providers Using Alternate Electronic Visit Verification: Visit Capture Home and Community Defined
NCDHHS delays the implementation of Tailored Plans until April 1, 2023. Specific new services will still go live Dec. 1, 2022.