Effective with date of service Jan. 1, 2026, new Current Procedure Terminology (CPT) codes have been added or deleted, and descriptions of some existing codes have been updated.
Topics Related to Bulletins
Coverage for Healthcare Common Procedure Coding System Code G0512 is end-dating effective Dec. 31, 2025.
Effective for dates of service on or after Feb. 1, 2026, claims for certain drug testing procedure codes must include an individual ordering provider NPI.
Clinical Coverage Policy 1S-11 will include coverage for AlloMap® effective Jan. 1, 2026.
The 2026 initial training dates for Community Alternatives Program consumer direction are now available.
This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.
NC Medicaid is advising of a phased-in process for the reinstatement of non-emergency medical transportation rates to those in effect Sept. 30, 2025.
Effective Dec. 12, 2025, coverage for GLP-1s for the treatment of obesity will be reverted to the coverage available as of Sept. 30, 2025.
This announcement is for NC Medicaid and Division of Mental Health, Developmental Disabilities, and Substance Use Services State Funded Behavioral Health Providers.
The new NC Medicaid Mental Health Parity website provides information on NC Medicaid compliance with federal mental health parity requirements.