Blog Entry List

Amended waiver submitted to the Centers for Medicare and Medicaid Services.
This bulletin is replaced by Additional NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 published on Jan. 24, 2024.
Appendix K flexibilities to continue if waiver amendment is not approved by Nov. 11, 2023
Beginning Nov. 6, 2023, Section Q Referrals should be made to Acentra
NC Medicaid is implementing changes due to Session Law 2023-14 and to implement additional clinical best practices for maternity care.
Regulatory Reform Act in October 2023 Updates regarding the N.C. Health Information Exchange Authority
Effective Nov. 1, 2023, ambulance providers may receive reimbursement from NC Medicaid when they treat and stabilize a beneficiary at the scene.
Instructions for providers requesting removal of NC Medicaid Direct members from their patient panel
Coverage Effective Nov. 1, 2023.
This bulletin provides updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023 (SL 2023-134).
Providers should submit claims for dates of service that now fall in NC Medicaid Direct.
Effective Sept. 1, 2023, NC Medicaid will cover functional magnetic resonance imaging (fMRI).
This bulletin contains information on flexibilities that are ending six months after the end of the Federal Public Health Emergency on Nov. 11, 2023.
Effective Nov. 1, 2023, NC Medicaid will remove all copay requirements for antiretroviral medications which decrease viral load in patients with HIV.
Use the latest form when submitting to the NC Medicaid fiscal agent