Topics Related to Bulletins

Effective July 1, 2023, NC Medicaid has increased the Medicaid rate for Maternal Bundled Payments for pregnancy care.
A draft application for § 1915 (c) NC Innovation Waiver is posted for a 30-day public comment period.
The report and instructions for completing the report are updated to capture additional information needed for Credit Balance Audits
Effective Jan. 1, 2023, the location field must have a valid value of 1 or 2.
Beneficiaries who will be covered by the Tailored Plans will continue to receive care as they do today.
Includes an overview of the newest Center for Medicare and Medicaid Innovation payment model for Medicare, NC Medicaid’s involvement and timelines.
Allows Home and Community Based Services for individuals with behavioral health, intellectual/developmental disabilities and traumatic brain injury.
New Temporary/Interim Estimated Budget Increases Added July 1, 2023.
Effective with date of service April 5, 2023, NC Medicaid covers retifanlimab-dlwr injection, for intravenous use (Zynyz)
Effective with date of service April 4, 2023, NC Medicaid covers velmanase alfa-tycv for injection, for intravenous use (Lamzede)