This bulletin summarizes the content of the programmatic guidance document for Care Coordination for High-Risk Pregnant Women and At-Risk Children.
Blog Entry List
Please ensure tailored care managers and care coordinators are using the updated version as of Oct. 1, 2026.
Providers enrolled with taxonomy 251S00000X without a Service will have the taxonomy terminated from the NCTracks record effective Nov. 2, 2026.
CY 2026 NC Medicaid provider assessment rates per non-Medicare licensed bed day for Skilled Nursing Facility providers.
Clarifications to providers on concurrent billing for Clinical Coverage Policy 8F.
Updated guidance on the Legally Responsible Individual as the Paid Caregiver in the CAP/C HCBS waiver Consumer Directed model.
This bulletin provides guidance on the 2026 – 2027 influenza season for NC Medicaid.
Guidance for the 2026 – 2027 COVID-19 vaccine for NC Medicaid.
Revisions to areas include definitions, eligibility and coverage criteria, specific criteria covered, transition and discharge planning and more.
Effective July 1, 2026, NC Medicaid launched a targeted expansion of School-Based Services by Local Education Agencies.
Providers should take advantage of the 70-day timeframe given to ensure completion without adverse action.
Appointment dates and times will no longer be scheduled for provider site visits
NC Medicaid Managed Care Incremental Innovations Waiver DCW Rate Increases effective October 1, 2026, retroactive to July 1, 2026.
The Centers for Medicare & Medicaid Services released the 2027 ICD-10 code list, Effective Oct. 1, 2026.
NC Medicaid has contracted with Health Management Systems to conduct Overpayment Recovery Reviews for Medicaid beneficiaries.