NC Medicaid is now routing dual-eligible beneficiary Professional and Institutional Medicare Crossover claims to the designated NC Medicaid Managed Care payor.
Blog Entry List
The sterilization consent form on the U.S. Department of Health and Human Services website has been updated.
Flexibilities effective Aug. 19, 2025, for NC Medicaid beneficiaries due to Hurricane Erin
Effective with date of service Aug. 1, 2025, NC Medicaid covers benzathine benzylpenicillin (Extencilline®) and benzathine benzylpenicillin tetrahydrate (Lentocilin).
NC Medicaid is implementing changes to the Nursing Facility process to support providers and members.
The revised NC Medicaid 1915(i) Assessment includes new date fields and must be used starting Oct. 1, 2025.
NC Medicaid is providing updated information to providers about new federal prohibitions on certain providers.
Announcing Coverage-67516 Suprachoroidal Space Injection of Pharmacologic Agent (separate procedure)
Current Procedural Terminology code 67516 has replaced category III code 0465T.
NC Medicaid is announcing the Recovery Audit Contractors program kick-off and upcoming Provider Outreach webinar.
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
Based on prior authorization and claim changes, optical providers (ophthalmologists, optometrists and opticians) should review NCTracks enrollment status to ensure there is an individual optical provider enrolled at the practice location where the visual aids are being ordered.
Effective July 1, 2025, NC Medicaid adjusted the provider per diem.
New diagnosis codes now accepted for chiropractic services effective Aug. 1, 2024.
Effective July 3, 2025, claims submitted without the ordering or referring physician National Provider Identifier will be adjudicated with a pay status for the Community Alternatives Program for Children and Disabled Adults.
In recent months, NC Medicaid has published three survey reports that detail the experiences of beneficiaries and providers in North Carolina during 2024.