Topics Related to Bulletins

Beginning Jan. 28, 2024, five new additional exclusion sanction questions will be added.

This bulletin replaces the NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 - Revised published Nov. 3, 2023.

NC Medicaid will update the PADP fee schedule effective Feb. 1, 2024.

How to best serve beneficiaries who have not received nursing services for 30 consecutive days.

How to create an association in Sandata allowing providers to work with their clients

The American Medical Association has added new CPT codes, deleted others and changed the descriptions of some existing codes.

Effective with date of service Sept. 1, 2023, NC Medicaid covers talquetamab-tgvs injection, for subcutaneous use (Talvey).

Effective with date of service Aug. 15, 2023, the NC Medicaid programs cover elranatamab-bcmm injection, for subcutaneous use (Elrexfio).

Effective with date of service Aug. 21, 2023, Medicaid covers aflibercept injection, for intravitreal use (Eylea HD)

Effective with date of service Sept. 6, 2023, NC Medicaid Direct and NC Medicaid Managed Care cover avacincaptad pegol intravitreal solution (Izervay)