Claims that reuse the same visit key for multiple dates of service, MIDs, NPIs or procedure codes will deny.
Blog Entry List
Clarification on the expiration of S.L. 2022-74 Section 9K.3 supervision flexibilities and a new taxonomy for Behavioral Analyst
Effective Feb. 16, 2024, individuals requesting to receive services may be placed on a waitlist.
Guidance for ophthalmologists, optometrists and opticians regarding clinical coverage policies for medical and routine eye exams and visual aids.
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.
Fee schedule rate corrected on Feb. 5, 2024.
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of Dec. 1, 2023, is posted.
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 rate considerations for Medicaid Expansion members effective Dec. 1, 2023.
Permanent flexibilities approved in the TBI Waiver amendment effective March 1, 2024.
Permanent flexibilities approved in the Innovations Waiver amendment effective March 1, 2024.
Includes information on LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks, Medicaid expansion and more.