Blog Entry List
GDIT will no longer request supplemental information for undisclosed items discovered during the credentialing and background check process.
Two FASTEP COVID 19 AG HOME TEST NDCs added to coverage.
Flexibilities effective Aug. 6, 2024, for NC Medicaid beneficiaries due to Tropical Storm Debby.
Changes are effective Aug. 1, 2024
Reminders for NC Medicaid Providers related to transitions at Tailored Plan Launch.
Effective Aug. 1, 2024, Medicaid will require a primary diagnosis of spinal subluxation for NC Medicaid Direct claims.
This bulletin provides guidance to providers caring for NC Medicaid beneficiaries also enrolled in Marketplace coverage through HealthCare.gov.
Effective Aug. 1, 2024, NC Medicaid will cover obesity management medications for beneficiaries 12 years of age and older.
Effective Aug. 1, 2024, over the counter oral contraceptive Opill will be available without a prescription, at no cost.
Standard Plans will begin to reimburse the APM rate for claims with a date of service on or after Aug. 1, 2024.
Providers need to submit new prior authorizations (PA) for services subject to 42 Code of Federal Regulations (CFR) Part II.
Includes information on new policies, tools and guidance, as well as several clarifications
Effective Dec. 1, 2023, updates increased treatment visit limits for beneficiaries aged 21 and older. The home health ordering practitioner reference was also updated.
Effective June 1, 2024, CPT codes are newly eligible for coverage.
Impacts NC Medicaid Managed Care Standard Plans, Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans and LME/MCOs.