Topics Related to Division of Health Benefits

This bulletin replaces NC Medicaid COVID-19 Vaccine and Reimbursement Guidelines for 2023-2024

Effective with date of service June 14, 2023, NC Medicaid covers pegunigalsidase alfa-iwxj injection, for intravenous use (Elfabrio).

NC Medicaid will begin publishing the POS vaccine rate file in January of 2024

Effective with date of service Oct. 1, 2023, NC Medicaid covers cholera vaccine, live, oral suspension for oral administration (Vaxchora).

Effective with date of service Oct. 1, 2023, NC Medicaid covers yellow fever vaccine, for subcutaneous use (YF-Vax)

Effective with date of service Oct. 1, 2023, NC Medicaid covers typhoid vaccine live oral Ty21a (Vivotif)

Effective with date of service Oct. 1, 2023, NC Medicaid covers typhoid vi polysaccharide vaccine (Typhim Vi).

Effective Oct. 1, 2023, NC Medicaid covers Japanese encephalitis vaccine, inactivated, adsorbed suspension for intramuscular injection.

Updated toolkit available to learn who will be eligible for NC Medicaid, when and how to apply.

NC Medicaid requires prescriptions to be ordered by Medicaid enrolled providers.