The Centers for Medicare & Medicaid Services has released 80 new ICD-10-PCS codes, Effective April 1, 2026.
Recent court rulings now require the North Carolina Department of Health and Human Services to reverse provider rate reductions and restore rates to their Sept. 30, 2025, levels.
NC Medicaid is hosting program specific office hours. Sessions will provide an opportunity for stakeholders to request technical assistance about issues and concerns.
Theme: “We’re All in This Together 3.0”
The Per Diem Rate Methodology for Congregate Settings effective April 1, 2025.
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements
Forum to be held June 4-5 in Raleigh.
Providers will continue to follow Personal Care Services in In-home settings (3L) from Jan. 1, 2025, through March 31, 2025.
The implementation of the Rate Reimbursement Methodology for individuals living in congregate settings will take effect on April 1, 2025.
Two policies will be effective on Jan. 1, 2025, and posted to the NC Medicaid website.
Effective Jan. 1, 2025, the unit of reimbursement will change from a 15-minute increment to a daily per diem.
This bulletin contains information on updated flexibilities being implemented by NC Medicaid due to the Hurricane Helene Public Health Emergency.
This is an update to a bulletin published on Sept. 26, 2024, regarding flexibilities related to Hurricane Helene for NC Medicaid beneficiaries.
The NC Medicaid Community Alternatives Program for Disabled Adults (CAP/DA) §1915(c) Home and Community-Based Services (HCBS) expires Oct. 31, 2024. NC Medicaid is seeking to renew the waiver for another five years.
Forum to be held Tuesday, June 25 in Concord.