Topics Related to Bulletins

Innovations Waiver Amendment Update

Appendix K flexibilities to continue if waiver amendment is not approved by Nov. 11, 2023

Minimum Data Set (MDS) Section Q Referrals Process Change

Beginning Nov. 6, 2023, Section Q Referrals should be made to Acentra

Maternity Coverage and Service Reimbursement Updates

NC Medicaid is implementing changes due to Session Law 2023-14 and to implement additional clinical best practices for maternity care.

Chiropractors Added to Providers Not Required to Connect to NC HealthConnex

Regulatory Reform Act in October 2023 Updates regarding the N.C. Health Information Exchange Authority

New Coverage Code for Ambulance Response and Treatment

Effective Nov. 1, 2023, ambulance providers may receive reimbursement from NC Medicaid when they treat and stabilize a beneficiary at the scene.

NC Medicaid Direct Member Reassignment Process

Instructions for providers requesting removal of NC Medicaid Direct members from their patient panel

New Procedure Code 99184 for 1A-7 Neonatal and Pediatric Critical and Intensive Care Services

Coverage Effective Nov. 1, 2023.

Legislated Medicaid Provider Rate Increases: Skilled Nursing Facilities (SNF), Personal Care Services (PCS), and Private-Duty Nursing (PDN)

This bulletin provides updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023 (SL 2023-134).

Update: Retroactive Disenrollment from NC Medicaid Managed Care

Providers should submit claims for dates of service that now fall in NC Medicaid Direct.

Functional Magnetic Resonance Imaging Covered

Effective Sept. 1, 2023, NC Medicaid will cover functional magnetic resonance imaging (fMRI).