Blog Entry List

Effective Jan. 1, 2023, the location field must have a valid value of 1 or 2.
Includes an overview of the newest Center for Medicare and Medicaid Innovation payment model for Medicare, NC Medicaid’s involvement and timelines.
New Temporary/Interim Estimated Budget Increases Added July 1, 2023.
Allows Home and Community Based Services for individuals with behavioral health, intellectual/developmental disabilities and traumatic brain injury.
Where to find the latest bulletins, webinars, fact sheets and other information.
Effective with date of service April 5, 2023, NC Medicaid covers retifanlimab-dlwr injection, for intravenous use (Zynyz)
Effective with date of service March 27, 2023, Medicaid and NC Health Choice cover Altuviiio.
Effective with date of service April 4, 2023, NC Medicaid covers velmanase alfa-tycv for injection, for intravenous use (Lamzede)
All Home Health Care providers are expected to be fully compliant with requirements on Aug. 1
New requirements for informed consent, reporting and patient information relating to abortions.
Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.
Providers submitting enrollment or reverification applications will be assessed the $100 NC Medicaid Provider Application Fee.
Avoid Suspension and Termination by completing reverification upon notification.
The first training session will be conducted on June 21, 2023, from 10 to 11 a.m.
Provider Feedback is needed to inform the design of the new Provider Data Management / Credentialing Verification Organization. Please complete survey by Friday, June 23, 2023