Topics Related to Bulletins

The NC Medicaid Community Alternatives Program for Disabled Adults (CAP/DA) §1915(c) Home and Community-Based Services (HCBS) expires Oct. 31, 2024. NC Medicaid is seeking to renew the waiver for another five years.

Information to share with beneficiaries to increase participation
Effective Sept. 1, 2024, NC Medicaid will begin covering condoms and spermicides as over-the-counter products, through the pharmacy benefit.
Hardship advances may be available for those at risk of not meeting financial obligations
GDIT will no longer request supplemental information for undisclosed items discovered during the credentialing and background check process.
Effective Sept. 1, 2024, hospital OST claims submitted to NCTracks must include the individual OPR NPI.
Effective July 30, 2024, NC Medicaid temporarily paused coverage of HCPCS code A0998 (Ambulance response and treatment, no transport).
Describes findings from the third assessment of provider experience and satisfaction with the NC Medicaid program.
Two FASTEP COVID 19 AG HOME TEST NDCs added to coverage.
Flexibilities effective Aug. 6, 2024, for NC Medicaid beneficiaries due to Tropical Storm Debby.