Topics Related to Bulletins

Key dates, playbook updates, Behavioral Health services to transition, provider reverification and more

Effective April 1, 2022, NC Medicaid coverage for pregnant beneficiaries will extend to the last day of the month in which the 12-month postpartum period ends.

Human Service Organizations are required to enroll as Medicaid providers through NCTracks.

Optional Eligibility Group and HRSA Group are different

Clinical Coverage Policy 1E-6, Pregnancy Medical Home is being replaced with Pregnancy Management Program effective July 1, 2021.

CMS PERM audit educational provider webinar to be held in April 2022

Effective May 1, 2022, claims with Rev Code 025x and 063x will deny without appropriate documentation of NDC and HCPCS codes.

Changes include Medicaid for Pregnant Women coverage for 12 months postpartum.

Continued Eligibility Reviews and Bonus Payments