Blog Entry List

This document provides guidance on what capacity building funds can be used for as well as the timeframes for use of the funds.
Policy updates for NC Medicaid Direct beneficiaries in the Obstetrical Services and Pregnancy Management Program policies, retroactive to Jan. 1.
Note: This bulletin is replaced by NC Health Choice Move to Medicaid: Timeline for Claims Adjudication and Process for Prior Approvals.
Milestones, playbook updates, beneficiary assignment file, provider reverification, provider records, provider ombudsman, help center and webinars.
Several code updates are effective April 1, 2023
Providing A Dental Home for Children and Youth with Special Health Care Needs
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
Changes for providers and beneficiaries effective April 1, 2023, when NC Health Choice beneficiaries transition to Medicaid.
Includes Pharmacy Point of Sale, Physician Administered Drug Program and Outpatient Hospital Pharmacy
This billing guidance supplements clinical policies and Medicaid bulletins.
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.
Proposed CAP/C Waiver renewal application submitted to CMS for review and approval
This bulletin replaces the Nov. 16, 2022, bulletin.