Blog Entry List

Flexibilities ending at or after the end of the Federal Public Health Emergency
Home Health Care Services: Soft Launch April 1, 2023 through June 30, 2023; Provider Selection of Electronic Visit Verification Vendor
This bulletin has been replaced by Provider Reverification Process Update - March 15, 2023.
The rates for HHCS shall be increased by 10% above the current fee schedule rate.
This report describes findings from the second assessment of provider experience and satisfaction with the NC Medicaid program.
Beginning with date of service May 12, 2023, NC Medicaid will end temporary emergency flexibilities implemented for three claims processing edits.
Optum has been awarded a contract to implement the solution, scheduled to launch in 2024.
Effective Jan. 9, 2023, Medicaid and NC Health Choice cover mosunetuzumab-axgb injection, for intravenous use (Lunsumio).
Implementation of Tailored Plans Start Date Oct. 1, 2023
Clinical Coverage Policy 8A, Mobile Crisis Management
Effective Dec. 7, 2022, Medicaid and NC Health Choice cover bendamustine hydrochloride injection, for intravenous use (Vivimusta).
Summary of updates to Clinical Coverage Policy 5A-3 with an effective date of Feb. 1, 2023.
NC Medicaid reimburses qualified providers for medically necessary circumcision for newborns and non-newborns.
This companion guide is designed to create uniformity in the completion of the Patient Risk List. 
Effective Feb. 1, 2022, NC Medicaid increased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment.