Topics Related to Bulletins

Cards are only allowed to be used exclusively for the member’s individual needs.
Effective with date of service May 26, 2023, NC Medicaid covers risperidone extended-release injectable suspension, for subcutaneous use (Uzedy)
Effective with date of service June 2, 2023, NC Medicaid covers epcoritamab-bysp injection, for subcutaneous use (Epkinly)
Additional clarification on implementation
Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services and 8C, Outpatient Behavioral Health Services
More than 600,000 people will gain access to quality care.
Mitigation process for any adverse impact for nursing facilities if a PASRR authorization is delayed.
Near Relatives and Legally Responsible Persons May Deliver Skilled Nursing Service to a PDN-eligible Beneficiary.
The 2024 ICD-10 update is effective Oct. 1, 2023 through Sept. 30, 2024.
NC Medicaid Direct programs will transition to NCLIFTSS by Oct. 6, 2023