Blog Entry List
An amended version of Clinical Coverage Policy 5B, Orthotics and Prosthetics promulgated on July 15, 2024.
Guidance for providers directly billing Medicare for services provided to patients with retroactive Medicare enrollment dates
The 2025 ICD-10 update is effective Oct. 1, 2024, through Sept. 30, 2025, for provider use for dates of service within this period.
Guidance based on products approved by the FDA and recommended by the CDC Advisory Committee on Immunization Practices (ACIP).
Coverage effective for dates of service from July 26, 2024
Rate Changes are Effective Aug. 1, 2024
Updates for providers on 1915(b)(3) services ending, new 1915(i) assessment tool and 1915(i) reassessments.
Clarification to recent policy and billing questions
Information to share with beneficiaries to increase participation
Effective Sept. 1, 2024, NC Medicaid will begin covering condoms and spermicides as over-the-counter products, through the pharmacy benefit.
Effective Sept. 1, 2024, hospital OST claims submitted to NCTracks must include the individual OPR NPI.
Two FASTEP COVID 19 AG HOME TEST NDCs added to coverage.
Flexibilities effective Aug. 6, 2024, for NC Medicaid beneficiaries due to Tropical Storm Debby.
Changes are effective Aug. 1, 2024
Effective Aug. 1, 2024, Medicaid will require a primary diagnosis of spinal subluxation for NC Medicaid Direct claims.