Fee schedules impacted by rate reductions will be released Oct. 1 2025, but are subject to change if additional appropriations are made available.
Blog Entry List
Current Procedural Terminology (CPT) code 99177, Screening of Eye with Special Instrument Onsite Analysis is separately reimbursable effective Nov. 1, 2024.
Providers and pharmacies should always use NCTracks to confirm Medicaid eligibility
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
Effective Sept. 16, 2025, the Total Cost of Care Dashboard is decommissioned.
Join NC Medicaid and the Health Plans on October 8 for the virtual quality forum
The first meeting for the new Credentialing Committee is slated for Oct. 8, 2025.
The purpose of this bulletin update is to provide clarification that Current Procedural Terminology (CPT) Code 99494 is allowed to be billed up to four times per month, effective July 1, 2024.
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
The Centers for Medicare & Medicaid Services (CMS) released the 2026 ICD-10 code list effective Oct. 1, 2025.
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.