Topics Related to Bulletins

Correction to NC Medicaid Eyeglasses Dispensing Fee Billing and Payment Bulletin

In the Feb. 1, 2022, bulletin, incorrect Maximum Allowable Rates were entered in the NC Medicaid Eyeglasses Dispensing Fee Schedule table.

Provider and Member Flexibilities for NC Medicaid Expansion Launch

Several flexibilities will be available on Dec. 1, 2023, to ease provider burden and ensure Medicaid expansion beneficiaries receive needed care.

Legislated Medicaid Provider Rate Increases: Durable Medical Equipment and Ambulatory Surgical Centers

Updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023

Reprocessing of Outpatient Claims with Revenue Code 025x and 063x and Missing Required Data

Starting in November 2023, Standard Plans and Medicaid Direct will reprocess claims without appropriate documentation of required codes.

NC Medicaid to Extend Appendix K Temporary Flexibilities until Feb. 29, 2024

Flexibilities extended while the Centers for Medicare & Medicaid Services reviews the Innovations and Traumatic Brain Injury Waiver amendments.

Medicaid Expansion Family Planning Mailing

Starting today, more than 260,000 people will receive a notification that they will get full Medicaid Benefits beginning Dec. 1, 2023.

NCDHHS Awards Contract for Pharmacy Benefits Management Solution

Magellan Medicaid Administration, LLC has been awarded a contract to implement the solution, scheduled to launch in 2025.

Update: TBI Waiver 1915 (c) and Appendix K Flexibilities

Amended waiver submitted to the Centers for Medicare and Medicaid Services

Update: Innovations 1915(c) and Appendix K Flexibilities

Amended waiver submitted to the Centers for Medicare and Medicaid Services.

NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 - Revised

This bulletin is replaced by Additional NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 published on Jan. 24, 2024.