Blog Entry List

A draft application for § 1915 (c) NC Innovation Waiver is posted for a 30-day public comment period.
This bulletin provides details on coverage for COVID-19 Vaccines and COVID-19 Counseling after the ending of the Federal Public Health Emergency.
The North Carolina Department of Health and Human Services recently awarded Acentra Health the contract as the Comprehensive Independent Assessment Entity (CIAE) for NC Medicaid.  Acentra Health will provide management and oversight for the Preadmission Screening Resident Review (PASRR) Level II process and will also serve as the Local Contact Agency (LCA), responsible for providing interested Nursing Facility (NF) residents with options for transitioning from institutional care to community-based living.
Effective July 1, 2023, NC Medicaid has increased the Medicaid rate for Maternal Bundled Payments for pregnancy care.
Effective Jan. 1, 2023, the location field must have a valid value of 1 or 2.
The report and instructions for completing the report are updated to capture additional information needed for Credit Balance Audits
Beneficiaries who will be covered by the Tailored Plans will continue to receive care as they do today.
Includes an overview of the newest Center for Medicare and Medicaid Innovation payment model for Medicare, NC Medicaid’s involvement and timelines.
Allows Home and Community Based Services for individuals with behavioral health, intellectual/developmental disabilities and traumatic brain injury.
New Temporary/Interim Estimated Budget Increases Added July 1, 2023.
Effective with date of service April 4, 2023, NC Medicaid covers velmanase alfa-tycv for injection, for intravenous use (Lamzede)
Where to find the latest bulletins, webinars, fact sheets and other information.
Effective with date of service April 5, 2023, NC Medicaid covers retifanlimab-dlwr injection, for intravenous use (Zynyz)
Effective with date of service March 27, 2023, Medicaid and NC Health Choice cover Altuviiio.
All Home Health Care providers are expected to be fully compliant with requirements on Aug. 1