Effective with date of service March 29, 2022, the Medicaid and NC Health Choice programs cover hepatitis b vaccine (recombinant) injectable suspension.
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Effective with date of service Feb. 25, 2022, the Medicaid and NC Health Choice programs cover tebentafusp-tebn injection.
Effective with date of service Feb. 23, 2022, the Medicaid and NC Health Choice programs cover sirolimus protein-bound particles for injectable suspension (albumin-bound).
Effective with date of service Feb. 28, 2022, the Medicaid and NC Health Choice programs cover cabotegravir extended-release injectable suspension, for intramuscular use (Apretude).
Providers should resubmit claims with 0261 revenue code
Key dates, playbook updates, Behavioral Health services to transition, provider reverification and more
Human Service Organizations are required to enroll as Medicaid providers through NCTracks.
Effective April 1, 2022, NC Medicaid coverage for pregnant beneficiaries will extend to the last day of the month in which the 12-month postpartum period ends.
Optional Eligibility Group and HRSA Group are different
Clinical Coverage Policy 1E-6, Pregnancy Medical Home is being replaced with Pregnancy Management Program effective July 1, 2021.
CMS PERM audit educational provider webinar to be held in April 2022
Effective May 1, 2022, claims with Rev Code 025x and 063x will deny without appropriate documentation of NDC and HCPCS codes.
Changes include Medicaid for Pregnant Women coverage for 12 months postpartum.
For dates of service beginning April 1, 2022, the ICF-IID provider assessment per licensed bed day will increase to $27.30.
Continued Eligibility Reviews and Bonus Payments