Policy updates for NC Medicaid Direct beneficiaries in the Obstetrical Services and Pregnancy Management Program policies, retroactive to Jan. 1.
Blog Entry List
NC Medicaid is implementing new Managed Care Nursing Facility rates to support nursing facility providers and NC Medicaid members.
Milestones, playbook updates, beneficiary assignment file, provider reverification, provider records, provider ombudsman, help center and webinars.
Providing A Dental Home for Children and Youth with Special Health Care Needs
Changes for providers and beneficiaries effective April 1, 2023, when NC Health Choice beneficiaries transition to Medicaid.
The applicable ICD-10-Codes will be retroactive back to Jan. 1, 2023.
Approved on Jan. 25, 2023, with an effective date of Dec. 1, 2022
Includes Pharmacy Point of Sale, Physician Administered Drug Program and Outpatient Hospital Pharmacy
This billing guidance supplements clinical policies and Medicaid bulletins.
Proposed CAP/C Waiver renewal application submitted to CMS for review and approval
The insulin glargine vial and insulin glargine Solostar® will be added as Preferred on the NC Medicaid Preferred Drug List, effective Jan. 27, 2023.
Revised EVV for Home Health Services implementation dates for NC Medicaid Direct, Standard Plans and Tailored Plans.
This bulletin replaces the Nov. 16, 2022, bulletin.
The latest updates on enrollees and services delivered, success stories and how Providers can refer Medicaid Members.