Additional Provider Flexibilities to Support Providers during Change Healthcare Disruption
Blog Entry List
Effective Feb. 16, 2024, individuals requesting to receive services may be placed on a waitlist.
Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)
This rate increase in the latest Physician Administered Drug Program fee schedule supports treating Medicaid members for Congenital Syphilis.
Policies to promulgate on May 1, 2024.
NC Medicaid began accepting Federally-facilitated Marketplace Eligibility Determinations Feb. 1, 2024
NCDHHS Consolidates Local Management Entity/Managed Care Organizations Ahead of Tailored Plan Launch
Eastpointe and Trillium Health Resources have consolidated into one entity, and Sandhills Center has dissolved.
Includes information on LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks, Medicaid expansion and more.
Includes rate considerations for Medicaid Expansion members effective Dec. 1, 2023.
CorDx, GoToKnow, FaStep COVID-19 AG Home Tests added to coverage.
Fact sheets provide key findings, trends, improvements and new programs
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.
Beginning Jan. 28, 2024, five new additional exclusion sanction questions will be added.
The American Medical Association has added new CPT codes, deleted others and changed the descriptions of some existing codes.