This bulletin has been replaced by Provider Reverification Process Update - March 15, 2023.
Blog Entry List
Beginning with date of service May 12, 2023, NC Medicaid will end temporary emergency flexibilities implemented for three claims processing edits.
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.
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).
Effective Dec. 7, 2022, Medicaid and NC Health Choice cover bendamustine hydrochloride injection, for intravenous use (Vivimusta).
Clinical Coverage Policy 8A, Mobile Crisis Management
Implementation of Tailored Plans Start Date Oct. 1, 2023
NC Medicaid reimburses qualified providers for medically necessary circumcision for newborns and non-newborns.
Summary of updates to Clinical Coverage Policy 5A-3 with an effective date of Feb. 1, 2023.
Effective Feb. 1, 2022, NC Medicaid increased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment.
On March 1, 2023, Beacon Health Options is changing their name to Carelon Behavioral Health.
This companion guide is designed to create uniformity in the completion of the Patient Risk List.
Effective March 1, 2023, through June 30, 2023, NC Medicaid is implementing a temporary rate increase of 40%.