Includes information on Provider Fact Sheets, LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks and more.
Blog Entry List
Tobacco-Related Policy Requirements Delayed until July 1, 2027
Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services Update
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies promulgated on March 1, 2024, with an effective date of Jan. 1, 2024.
Additional Provider Flexibilities to Support Providers during Change Healthcare Disruption
Claims that reuse the same visit key for multiple dates of service, MIDs, NPIs or procedure codes will deny.
Effective Feb. 16, 2024, individuals requesting to receive services may be placed on a waitlist.
Clarification on the expiration of S.L. 2022-74 Section 9K.3 supervision flexibilities and a new taxonomy for Behavioral Analyst
Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)
Guidance for ophthalmologists, optometrists and opticians regarding clinical coverage policies for medical and routine eye exams and visual aids.
This rate increase in the latest Physician Administered Drug Program fee schedule supports treating Medicaid members for Congenital Syphilis.
Policies to promulgate on May 1, 2024.
Fee schedule rate corrected on Feb. 5, 2024.
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of Dec. 1, 2023, is posted.
NC Medicaid began accepting Federally-facilitated Marketplace Eligibility Determinations Feb. 1, 2024