Topics Related to Division of Health Benefits
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
The Centers for Medicare & Medicaid Services (CMS) released the 2026 ICD-10 code list effective Oct. 1, 2025.
Information on Credentialing Committee, Children and Families Specialty Plan (CFSP) and Upcoming Application Changes.
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements.
Effective Oct. 1, 2025, NC Medicaid coverage for GLP-1s for the treatment of obesity will be discontinued.
Implementation of the initiative is paused until further notice.
This bulletin applies to all NC Medicaid Managed Care providers.
NC Medicaid is now routing dual-eligible beneficiary Professional and Institutional Medicare Crossover claims to the designated NC Medicaid Managed Care payor.
The sterilization consent form on the U.S. Department of Health and Human Services website has been updated.
Effective with date of service Aug. 1, 2025, NC Medicaid covers benzathine benzylpenicillin (Extencilline®) and benzathine benzylpenicillin tetrahydrate (Lentocilin).