The Centers for Medicare & Medicaid Services (CMS) released the 2026 ICD-10 code list effective Oct. 1, 2025.
Blog Entry List
Information on Credentialing Committee, Children and Families Specialty Plan (CFSP) and Upcoming Application Changes.
Effective Oct. 1, 2025, NC Medicaid coverage for GLP-1s for the treatment of obesity will be discontinued.
Implementation of the initiative is paused until further notice.
NC Medicaid is now routing dual-eligible beneficiary Professional and Institutional Medicare Crossover claims to the designated NC Medicaid Managed Care payor.
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 announcing the Recovery Audit Contractors program kick-off and upcoming Provider Outreach webinar.
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 providing updated information to providers about new federal prohibitions on certain providers.
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.