Topics Related to Bulletins

Effective Oct. 1, 2025, NC Medicaid will no longer cover the prescription drug Xifaxan (Rifaximin).
Providers can no longer bill NC Medicaid for Hospital at Home for dates of service on or after Oct. 1, 2025.
Flexibilities effective Sept. 26, 2025, for NC Medicaid beneficiaries due to Hurricane Humberto and Tropical Storm Invest 94L (Potential Imelda).
Fee schedules impacted by rate reductions will be released Oct. 1 2025, but are subject to change if additional appropriations are made available.
Current Procedural Terminology (CPT) code 99177, Screening of Eye with Special Instrument Onsite Analysis is separately reimbursable effective Nov. 1, 2024.
Providers and pharmacies should always use NCTracks to confirm Medicaid eligibility
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
Effective Sept. 16, 2025, the Total Cost of Care Dashboard is decommissioned.
Join NC Medicaid and the Health Plans on October 8 for the virtual quality forum
The first meeting for the new Credentialing Committee is slated for Oct. 8, 2025.