Blog Entry List

Coverage for single booster dose
A new PA is required for beneficiaries returning to NC Medicaid Direct.
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
New billable codes available Sept.1 to address social drivers of health
EPSDT Prior Authorization Available July 1, 2022
Three claims processing edits to end with Public Health Emergency
Prior to submitting an application for Advanced Medical Home/Care Management Agency Certification, please download and utilize the Provider Directory Listing Report.
Beginning Jan. 1, 2023, substantive portion means more than half of the total time spent by the physician and NPP performing the shared/split visit
An updated version of the policy with an amendment date of May 15, 2022, is posted.
the Medicaid and NC Health Choice cover kit for the preparation of gallium Ga 68 dotatate injection
Providing A Dental Home for Children and Youth with Special Healthcare Needs
Medicaid and NC Health Choice cover gadoterate meglumine injection
Medicaid and NC Health Choice cover kit for the preparation of gallium Ga 68 gozetotide injection
Medicaid and NC Health Choice programs covers lutetium Lu 177 vipivotide tetraxetan injection
Reminder: Point of Sale Billing Authorized in January