Topics Related to Bulletins
Revisions to areas include definitions, eligibility and coverage criteria, specific criteria covered, transition and discharge planning and more.
Providers should take advantage of the 70-day timeframe given to ensure completion without adverse action.
Appointment dates and times will no longer be scheduled for provider site visits
NC Medicaid Managed Care Incremental Innovations Waiver DCW Rate Increases effective October 1, 2026, retroactive to July 1, 2026.
Effective July 1, 2026, NC Medicaid launched a targeted expansion of School-Based Services by Local Education Agencies.
The Centers for Medicare & Medicaid Services released the 2027 ICD-10 code list, Effective Oct. 1, 2026.
Including a behavioral health post-enrollment accreditation update, recent provider communications and more.
NC Medicaid Launching New Services for Eligible Justice-Involved Youth under CAA 5121 in all Youth Development Centers.
NC Medicaid has contracted with Health Management Systems to conduct Overpayment Recovery Reviews for Medicaid beneficiaries.
Providers selected for quarterly NC Medicaid Internal Audits will be notified only using the QiRePort Provider Interface.