Coverage for Healthcare Common Procedure Coding System Code G0512 is end-dating effective Dec. 31, 2025.
Blog Entry List
Effective with date of service Jan. 1, 2026, new Current Procedure Terminology (CPT) codes have been added or deleted, and descriptions of some existing codes have been updated.
The 2026 initial training dates for Community Alternatives Program consumer direction are now available.
Effective for dates of service on or after Feb. 1, 2026, claims for certain drug testing procedure codes must include an individual ordering provider NPI.
Clinical Coverage Policy 1S-11 will include coverage for AlloMap® effective Jan. 1, 2026.
Effective Dec. 12, 2025, coverage for GLP-1s for the treatment of obesity will be reverted to the coverage available as of Sept. 30, 2025.
NC Medicaid is advising of a phased-in process for the reinstatement of non-emergency medical transportation rates to those in effect Sept. 30, 2025.
This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.
This announcement is for NC Medicaid and Division of Mental Health, Developmental Disabilities, and Substance Use Services State Funded Behavioral Health Providers.
NC Medicaid is providing updated information to providers about the federal prohibitions on certain providers.
The new NC Medicaid Mental Health Parity website provides information on NC Medicaid compliance with federal mental health parity requirements.
Recent court rulings now require the North Carolina Department of Health and Human Services to reverse provider rate reductions and restore rates to their Sept. 30, 2025, levels.
NC Medicaid is providing updated information to providers about the federal prohibitions on certain providers.
NC Medicaid Managed Care plans may apply utilization edits and/or prior authorization criteria per the Food and Drug Administration label on drugs when the State has not established criteria and has not prohibited use of criteria.
The federal fee for Medicaid enrollment will increase to $750 for calendar year 2026.